Provider First Line Business Practice Location Address:
3221 WAIALAE AVENUE
Provider Second Line Business Practice Location Address:
SUITE 360
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-5849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-734-0020
Provider Business Practice Location Address Fax Number:
808-732-0010
Provider Enumeration Date:
08/20/2013