Provider First Line Business Practice Location Address:
1807 N 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:
96819-3447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-4195
Provider Business Practice Location Address Fax Number:
808-841-0627
Provider Enumeration Date:
02/20/2012