Provider First Line Business Practice Location Address:
2611 ALA WAI BLVD
Provider Second Line Business Practice Location Address:
1606
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-3981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-386-5420
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2007