Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 6G
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96830-5683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-4005
Provider Business Practice Location Address Fax Number:
808-591-2625
Provider Enumeration Date:
10/30/2007