Provider First Line Business Practice Location Address:
1310 PUNAHOU ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-1027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-951-3638
Provider Business Practice Location Address Fax Number:
808-951-3718
Provider Enumeration Date:
09/30/2015