Provider First Line Business Practice Location Address:
1750 KALAKAUA AVE STE 108
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:
96826-3700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-942-8727
Provider Business Practice Location Address Fax Number:
808-946-9849
Provider Enumeration Date:
10/28/2006