Provider First Line Business Practice Location Address:
1645 ALA WAI BLVD
Provider Second Line Business Practice Location Address:
1305
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-6665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2012