Provider First Line Business Practice Location Address:
725 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE C 102
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:
808-596-0000
Provider Business Practice Location Address Fax Number:
808-596-0771
Provider Enumeration Date:
02/26/2007