Provider First Line Business Practice Location Address:
1450 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
SUITE 3265
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-945-3539
Provider Business Practice Location Address Fax Number:
808-312-6307
Provider Enumeration Date:
12/30/2014