Provider First Line Business Practice Location Address:
1188 BISHOP ST
Provider Second Line Business Practice Location Address:
STE 2303
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-3301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-0260
Provider Business Practice Location Address Fax Number:
808-536-0265
Provider Enumeration Date:
12/01/2006