Provider First Line Business Practice Location Address:
1010 S KING ST STE B2
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:
96814-1775
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-2324
Provider Business Practice Location Address Fax Number:
808-596-7947
Provider Enumeration Date:
07/23/2012