Provider First Line Business Practice Location Address:
405 N KUAKINI ST
Provider Second Line Business Practice Location Address:
SUITE #1011
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-596-7791
Provider Business Practice Location Address Fax Number:
808-440-2255
Provider Enumeration Date:
10/10/2006