Provider First Line Business Practice Location Address:
725 KAPIOLANI BLVD STE C124
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-6013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-4650
Provider Business Practice Location Address Fax Number:
808-596-4651
Provider Enumeration Date:
04/01/2009