Provider First Line Business Practice Location Address:
928 NUUANU AVE
Provider Second Line Business Practice Location Address:
LOWER LEVEL, SUITE 2
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:
808-538-2800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2012