Provider First Line Business Practice Location Address:
1010 S. KING STREET
Provider Second Line Business Practice Location Address:
STE 502
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-9025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2006