Provider First Line Business Practice Location Address:
550 S. BERETANIA STREET
Provider Second Line Business Practice Location Address:
PHYSICIAN OFFICE BUILDING 3, SUITE 501
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:
808-691-8955
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2013