Provider First Line Business Practice Location Address:
1111 BISHOP ST
Provider Second Line Business Practice Location Address:
SUITE 508
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-626-5964
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/17/2010