Provider First Line Business Practice Location Address:
1100 ALAKEA STREET
Provider Second Line Business Practice Location Address:
UNIT9
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-523-7771
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2009