Provider First Line Business Practice Location Address:
2617S KING ST 2B
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:
96826-3274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-343-4749
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2014