Provider First Line Business Practice Location Address:
2155 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
STE 308
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-2354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-871-7772
Provider Business Practice Location Address Fax Number:
808-871-8540
Provider Enumeration Date:
06/10/2008