Provider First Line Business Practice Location Address:
550 S BERETANIA ST
Provider Second Line Business Practice Location Address:
SUITE 402
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-2233
Provider Business Practice Location Address Fax Number:
808-585-0146
Provider Enumeration Date:
08/31/2006