Provider First Line Business Practice Location Address:
1888 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
SUITE C312
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-554-1405
Provider Business Practice Location Address Fax Number:
855-756-3455
Provider Enumeration Date:
12/23/2013