Provider First Line Business Practice Location Address:
1100 WARD AVE
Provider Second Line Business Practice Location Address:
SUITE 950
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-522-3159
Provider Business Practice Location Address Fax Number:
808-522-4345
Provider Enumeration Date:
10/10/2006