Provider First Line Business Practice Location Address:
1120 MAUNAKEA ST
Provider Second Line Business Practice Location Address:
SUITE 275
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-5100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-497-9168
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2011