Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
PH38
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:
808-383-1785
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/14/2013