Provider First Line Business Practice Location Address:
1415 KALAKAUA AVE STE 211
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:
96826-1920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-9952
Provider Business Practice Location Address Fax Number:
866-453-7200
Provider Enumeration Date:
07/24/2006