Provider First Line Business Practice Location Address:
321 N. KUAKINI ST.
Provider Second Line Business Practice Location Address:
SUITE 812
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-528-2966
Provider Business Practice Location Address Fax Number:
808-528-2967
Provider Enumeration Date:
06/13/2006