Provider First Line Business Practice Location Address:
1860 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
UNIT # 600
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-944-2722
Provider Business Practice Location Address Fax Number:
808-944-2722
Provider Enumeration Date:
02/06/2007