Provider First Line Business Practice Location Address:
1347 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-943-2872
Provider Business Practice Location Address Fax Number:
808-947-6570
Provider Enumeration Date:
01/23/2008