Provider First Line Business Practice Location Address:
250 WARD AVE STE 100
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:
96814-4007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-8860
Provider Business Practice Location Address Fax Number:
808-591-8869
Provider Enumeration Date:
08/13/2007