Provider First Line Business Practice Location Address:
1660 SOUTH KING ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-942-5565
Provider Business Practice Location Address Fax Number:
808-942-5573
Provider Enumeration Date:
02/12/2007