Provider First Line Business Practice Location Address:
1777 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
LOBBY LEVEL - ILIKAI HOTEL
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-926-9911
Provider Business Practice Location Address Fax Number:
808-949-7771
Provider Enumeration Date:
03/27/2008