Provider First Line Business Practice Location Address:
550 S BERETANIA ST
Provider Second Line Business Practice Location Address:
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:
96813-2414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-528-4144
Provider Business Practice Location Address Fax Number:
808-525-6868
Provider Enumeration Date:
07/19/2007