Provider First Line Business Practice Location Address:
745 FORT ST
Provider Second Line Business Practice Location Address:
STE 330
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:
808-585-7471
Provider Business Practice Location Address Fax Number:
808-593-1033
Provider Enumeration Date:
03/27/2007