Provider First Line Business Practice Location Address:
1833 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
SUITE 800
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-6763
Provider Business Practice Location Address Fax Number:
808-951-9282
Provider Enumeration Date:
09/02/2006