Provider First Line Business Practice Location Address:
193 SO HOTEL ST
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:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-1466
Provider Business Practice Location Address Fax Number:
808-526-1031
Provider Enumeration Date:
08/01/2006