Provider First Line Business Practice Location Address:
3045 MONSARRAT AVE
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-375-2745
Provider Business Practice Location Address Fax Number:
808-732-0240
Provider Enumeration Date:
03/26/2010