Provider First Line Business Practice Location Address:
1920 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
APT 1208
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-989-9749
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2009