Provider First Line Business Practice Location Address:
627 SOUTH ST
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-5050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-371-9391
Provider Business Practice Location Address Fax Number:
808-485-2059
Provider Enumeration Date:
03/03/2010