Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD STE 6E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-554-2104
Provider Business Practice Location Address Fax Number:
808-593-2275
Provider Enumeration Date:
09/04/2009