Provider First Line Business Practice Location Address:
1750 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
SUITE 3203
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-3766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-943-2994
Provider Business Practice Location Address Fax Number:
808-356-0549
Provider Enumeration Date:
03/31/2008