Provider First Line Business Practice Location Address:
1136 UNION MALL
Provider Second Line Business Practice Location Address:
SUITE 502
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-947-2929
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/02/2006