Provider First Line Business Practice Location Address:
2121 ALA WAI BLVD
Provider Second Line Business Practice Location Address:
SUITE #703
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-2216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-386-4693
Provider Business Practice Location Address Fax Number:
808-926-5965
Provider Enumeration Date:
06/10/2010