Provider First Line Business Practice Location Address:
1620 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-0255
Provider Business Practice Location Address Fax Number:
808-955-4155
Provider Enumeration Date:
11/05/2013