Provider First Line Business Practice Location Address:
6600 KALANIANAOLE HWY
Provider Second Line Business Practice Location Address:
SUITE 225
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-721-8048
Provider Business Practice Location Address Fax Number:
808-394-2826
Provider Enumeration Date:
11/21/2012