Provider First Line Business Practice Location Address:
405 N KUAKINI ST STE 1105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-6301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-532-2056
Provider Business Practice Location Address Fax Number:
808-532-2058
Provider Enumeration Date:
06/05/2007