Provider First Line Business Practice Location Address:
1100 WARD AVE
Provider Second Line Business Practice Location Address:
SUITE 840
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-522-4521
Provider Business Practice Location Address Fax Number:
808-522-3320
Provider Enumeration Date:
08/19/2006