Provider First Line Business Practice Location Address:
919 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
RM. 407
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-587-3376
Provider Business Practice Location Address Fax Number:
808-587-3378
Provider Enumeration Date:
04/04/2007