Provider First Line Business Practice Location Address:
2041-B NORTH KING 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:
96819-4218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-391-9585
Provider Business Practice Location Address Fax Number:
808-841-0247
Provider Enumeration Date:
07/22/2015