Provider First Line Business Practice Location Address:
1400 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE A-26
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-354-9737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2008