Provider First Line Business Practice Location Address:
2609 ALA WAI BLVD
Provider Second Line Business Practice Location Address:
1003
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-3980
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-277-9644
Provider Business Practice Location Address Fax Number:
808-692-1247
Provider Enumeration Date:
12/24/2007