Provider First Line Business Practice Location Address:
777 S HOTEL ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-275-1207
Provider Business Practice Location Address Fax Number:
808-275-1209
Provider Enumeration Date:
09/19/2007