Provider First Line Business Practice Location Address:
2153 N KING ST STE 321
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:
96819-4559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-3644
Provider Business Practice Location Address Fax Number:
808-841-3555
Provider Enumeration Date:
05/28/2008