Provider First Line Business Practice Location Address:
1778 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
UL-5
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-5553
Provider Business Practice Location Address Fax Number:
808-955-5575
Provider Enumeration Date:
05/19/2006