Provider First Line Business Practice Location Address:
1441 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 1304
Provider Business Practice Location Address City Name:
HONALULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-0004
Provider Business Practice Location Address Fax Number:
808-949-3204
Provider Enumeration Date:
09/08/2006