Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD STE 348
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:
96814-3510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-425-2987
Provider Business Practice Location Address Fax Number:
808-797-2729
Provider Enumeration Date:
10/19/2011