Provider First Line Business Practice Location Address:
909 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-589-3330
Provider Business Practice Location Address Fax Number:
808-589-3332
Provider Enumeration Date:
05/05/2009