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