Provider First Line Business Practice Location Address:
6600 KALANIANAOLE HWY
Provider Second Line Business Practice Location Address:
STE 225
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-342-3138
Provider Business Practice Location Address Fax Number:
808-394-2800
Provider Enumeration Date:
03/05/2014