Provider First Line Business Practice Location Address:
2153 N KING ST
Provider Second Line Business Practice Location Address:
STE 322
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-4559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-848-8880
Provider Business Practice Location Address Fax Number:
808-848-8814
Provider Enumeration Date:
07/01/2005