Provider First Line Business Practice Location Address:
745 FORT ST
Provider Second Line Business Practice Location Address:
SUITE 124
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-529-1341
Provider Business Practice Location Address Fax Number:
808-356-5014
Provider Enumeration Date:
05/23/2013