Provider First Line Business Practice Location Address:
1350 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
SUITE 2304
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-523-8449
Provider Business Practice Location Address Fax Number:
808-356-0832
Provider Enumeration Date:
10/27/2014