Provider First Line Business Practice Location Address:
1600 KAPIOLANI BLVD.
Provider Second Line Business Practice Location Address:
SUITE 1650
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-951-5540
Provider Business Practice Location Address Fax Number:
808-951-5545
Provider Enumeration Date:
09/01/2005