Provider First Line Business Practice Location Address:
560 N NIMITZ HWY STE 115B
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:
96817-5380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-545-2500
Provider Business Practice Location Address Fax Number:
808-545-2500
Provider Enumeration Date:
10/26/2009