Provider First Line Business Practice Location Address:
1580 MAKALOA STREET
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-941-2911
Provider Business Practice Location Address Fax Number:
808-951-5922
Provider Enumeration Date:
01/22/2007