Provider First Line Business Practice Location Address:
575 COOKE STREET
Provider Second Line Business Practice Location Address:
SUITE A 2325
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-5385
Provider Business Practice Location Address Fax Number:
808-947-7246
Provider Enumeration Date:
11/16/2006