Provider First Line Business Practice Location Address:
2024 N KING ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-3470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-845-4521
Provider Business Practice Location Address Fax Number:
808-848-0528
Provider Enumeration Date:
01/26/2007