Provider First Line Business Practice Location Address:
2155 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-2351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-752-7139
Provider Business Practice Location Address Fax Number:
401-216-3936
Provider Enumeration Date:
11/04/2005