Provider First Line Business Practice Location Address:
1311 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 314
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-349-1137
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2007