Provider First Line Business Practice Location Address:
1717 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-3710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-1134
Provider Business Practice Location Address Fax Number:
808-842-4134
Provider Enumeration Date:
05/07/2007