Provider First Line Business Practice Location Address:
405 N KUAKINI ST
Provider Second Line Business Practice Location Address:
SUITE 1108
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-548-6008
Provider Business Practice Location Address Fax Number:
808-548-6006
Provider Enumeration Date:
01/24/2007