Provider First Line Business Practice Location Address:
1130 N. NIMITZ HWY
Provider Second Line Business Practice Location Address:
SUITE A203
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-780-1222
Provider Business Practice Location Address Fax Number:
808-677-0643
Provider Enumeration Date:
01/25/2008