Provider First Line Business Practice Location Address:
50 SOUTH BERETANIA ST., SUITE C-201
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:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-535-7711
Provider Business Practice Location Address Fax Number:
808-535-7722
Provider Enumeration Date:
03/09/2007