Provider First Line Business Practice Location Address:
3465 WAIALAE AVE
Provider Second Line Business Practice Location Address:
SUITE 270
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-2650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-737-3993
Provider Business Practice Location Address Fax Number:
808-738-5566
Provider Enumeration Date:
07/01/2008