Provider First Line Business Practice Location Address:
1441 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE #805
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-6136
Provider Business Practice Location Address Fax Number:
808-943-6236
Provider Enumeration Date:
05/22/2007