Provider First Line Business Practice Location Address:
401 KAMAKEE ST
Provider Second Line Business Practice Location Address:
SUITE #406
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-457-2050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/17/2012