Provider First Line Business Practice Location Address:
3221 WAIALAE AVE
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-732-1467
Provider Business Practice Location Address Fax Number:
808-247-1768
Provider Enumeration Date:
06/01/2007