Provider First Line Business Practice Location Address:
550 S. BERETANIA STREET
Provider Second Line Business Practice Location Address:
SUITE 510
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-691-1728
Provider Business Practice Location Address Fax Number:
808-691-4557
Provider Enumeration Date:
05/15/2007