Provider First Line Business Practice Location Address:
1330 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
UNIT 9
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-945-5433
Provider Business Practice Location Address Fax Number:
808-380-1465
Provider Enumeration Date:
08/02/2016