Provider First Line Business Practice Location Address:
1350 S KING ST STE 307
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-809-8057
Provider Business Practice Location Address Fax Number:
808-582-7755
Provider Enumeration Date:
11/20/2006