Provider First Line Business Practice Location Address:
1481 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 343
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-947-6790
Provider Business Practice Location Address Fax Number:
808-947-9463
Provider Enumeration Date:
05/01/2007