Provider First Line Business Practice Location Address:
1319 PUNAHOU STREET
Provider Second Line Business Practice Location Address:
SUITE 620
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-4558
Provider Business Practice Location Address Fax Number:
808-949-1055
Provider Enumeration Date:
05/17/2006