Provider First Line Business Practice Location Address:
1301 PUNCHBOWL ST
Provider Second Line Business Practice Location Address:
PAUAHI 3RD FLOOR, QUEEN'S HEART
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-691-4111
Provider Business Practice Location Address Fax Number:
808-691-5015
Provider Enumeration Date:
06/10/2013