Provider First Line Business Practice Location Address:
1488 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-8500
Provider Business Practice Location Address Fax Number:
808-949-8359
Provider Enumeration Date:
05/18/2012