Provider First Line Business Practice Location Address:
2875 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-3564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-944-6900
Provider Business Practice Location Address Fax Number:
808-944-6922
Provider Enumeration Date:
11/24/2005