Provider First Line Business Practice Location Address:
80 SAND ISLAND ACCESS RD STE 238
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:
96819-4912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-537-1671
Provider Business Practice Location Address Fax Number:
808-791-6990
Provider Enumeration Date:
12/02/2005