Provider First Line Business Practice Location Address:
1401 S BERETANIA ST
Provider Second Line Business Practice Location Address:
SUITE 750
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-356-5614
Provider Business Practice Location Address Fax Number:
808-538-3957
Provider Enumeration Date:
08/10/2013