Provider First Line Business Practice Location Address:
401 KAMAKEE ST
Provider Second Line Business Practice Location Address:
SUITE 418
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-554-9893
Provider Business Practice Location Address Fax Number:
808-554-9893
Provider Enumeration Date:
08/22/2007