Provider First Line Business Practice Location Address:
1314 S. KING STREET,
Provider Second Line Business Practice Location Address:
SUITE 608
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-2809
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2009