Provider First Line Business Practice Location Address:
1860 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-921-2273
Provider Business Practice Location Address Fax Number:
808-921-2274
Provider Enumeration Date:
01/22/2016