Provider First Line Business Practice Location Address:
1600 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
UNIT 1319
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-2439
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2012