Provider First Line Business Practice Location Address:
3375 KOAPAKA ST
Provider Second Line Business Practice Location Address:
SUITE C315
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-387-8812
Provider Business Practice Location Address Fax Number:
808-744-3099
Provider Enumeration Date:
12/29/2009