Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 940
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-596-4486
Provider Business Practice Location Address Fax Number:
808-596-4482
Provider Enumeration Date:
10/02/2006