Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD PH 38
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-686-2584
Provider Business Practice Location Address Fax Number:
866-925-4284
Provider Enumeration Date:
03/16/2015