Provider First Line Business Practice Location Address:
801 ALAKEA ST
Provider Second Line Business Practice Location Address:
ROOM 205
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-4612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-722-2787
Provider Business Practice Location Address Fax Number:
808-395-2338
Provider Enumeration Date:
02/13/2007