Provider First Line Business Practice Location Address:
1600 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 807
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-0033
Provider Business Practice Location Address Fax Number:
808-943-4316
Provider Enumeration Date:
08/18/2016