Provider First Line Business Practice Location Address:
932 WARD AVE
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-942-3644
Provider Business Practice Location Address Fax Number:
808-955-7950
Provider Enumeration Date:
07/20/2006