Provider First Line Business Practice Location Address:
1010 S KING ST STE 604
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:
96814-1707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-852-8535
Provider Business Practice Location Address Fax Number:
808-376-8346
Provider Enumeration Date:
12/27/2018