Provider First Line Business Practice Location Address:
1188 BISHOP ST
Provider Second Line Business Practice Location Address:
#2702
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-533-6133
Provider Business Practice Location Address Fax Number:
808-521-6654
Provider Enumeration Date:
01/10/2006