Provider First Line Business Practice Location Address:
600 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
STE 402
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-5141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-537-2665
Provider Business Practice Location Address Fax Number:
808-524-3747
Provider Enumeration Date:
06/01/2005