Provider First Line Business Practice Location Address:
500 ALA MOANA BLVD SUITE
Provider Second Line Business Practice Location Address:
SUITE 1B
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-227-6477
Provider Business Practice Location Address Fax Number:
808-726-2199
Provider Enumeration Date:
03/30/2018