Provider First Line Business Practice Location Address:
4211 WAIALAE AVENUE
Provider Second Line Business Practice Location Address:
SUITE 505
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-5318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-732-0933
Provider Business Practice Location Address Fax Number:
808-737-2605
Provider Enumeration Date:
10/06/2006