Provider First Line Business Practice Location Address:
500 N NIMITZ HWY
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:
96817-5030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-524-1568
Provider Business Practice Location Address Fax Number:
808-524-1657
Provider Enumeration Date:
02/19/2010