Provider First Line Business Practice Location Address:
1441 KAPIOLANI BLVD STE 1113
Provider Second Line Business Practice Location Address:
SUITE 1113
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-218-3660
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2006