Provider First Line Business Practice Location Address:
2100 N NIMITZ HWY
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:
96819-2218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-526-9724
Provider Business Practice Location Address Fax Number:
808-536-7235
Provider Enumeration Date:
02/02/2007