Provider First Line Business Practice Location Address: 
801 DILLINGHAM BLVD STE 101
    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: 
96817-4529
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
808-535-1550
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/08/2007