Provider First Line Business Practice Location Address:
2119 N KING ST
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-4550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-845-6216
Provider Business Practice Location Address Fax Number:
808-841-6872
Provider Enumeration Date:
06/21/2006