Provider First Line Business Practice Location Address:
2525 S KING ST SUITE 309
Provider Second Line Business Practice Location Address:
MOILIILI PROFESSIONAL BLDG
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-3154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-952-6900
Provider Business Practice Location Address Fax Number:
808-952-6900
Provider Enumeration Date:
04/15/2008