Provider First Line Business Practice Location Address:
1150 S KING ST
Provider Second Line Business Practice Location Address:
STE 908
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-597-1999
Provider Business Practice Location Address Fax Number:
808-597-1201
Provider Enumeration Date:
05/22/2008