Provider First Line Business Practice Location Address:
2632 S KING ST
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:
96826-3243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-1544
Provider Business Practice Location Address Fax Number:
808-955-5474
Provider Enumeration Date:
06/22/2006