Provider First Line Business Practice Location Address:
405 N KUAKINI STREET
Provider Second Line Business Practice Location Address:
SUITE 707
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-6302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-3267
Provider Business Practice Location Address Fax Number:
808-536-3947
Provider Enumeration Date:
10/23/2007