Provider First Line Business Practice Location Address:
1100 WARD AVE
Provider Second Line Business Practice Location Address:
STE 700
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-544-2645
Provider Business Practice Location Address Fax Number:
808-441-1706
Provider Enumeration Date:
03/08/2011