Provider First Line Business Practice Location Address:
1132 BISHOP ST
Provider Second Line Business Practice Location Address:
STE 303
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-218-3980
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2010