Provider First Line Business Practice Location Address:
1806 S KING ST STE 21
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:
96826-2105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-952-9355
Provider Business Practice Location Address Fax Number:
808-952-9356
Provider Enumeration Date:
11/09/2010