Provider First Line Business Practice Location Address:
2065 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-2225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-947-4222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2006