Provider First Line Business Practice Location Address:
1020 SPENCER ST
Provider Second Line Business Practice Location Address:
#5
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-5100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-4110
Provider Business Practice Location Address Fax Number:
808-521-4110
Provider Enumeration Date:
06/15/2006