Provider First Line Business Practice Location Address:
1481 SOUTH KING STREET
Provider Second Line Business Practice Location Address:
SUITE 538
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-5929
Provider Business Practice Location Address Fax Number:
808-677-1130
Provider Enumeration Date:
04/23/2010