Provider First Line Business Practice Location Address:
500 UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
#2005
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-941-2851
Provider Business Practice Location Address Fax Number:
808-941-2851
Provider Enumeration Date:
03/23/2006