Provider First Line Business Practice Location Address:
1350 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 230
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-9998
Provider Business Practice Location Address Fax Number:
808-591-9992
Provider Enumeration Date:
09/18/2012