Provider First Line Business Practice Location Address:
2615 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-3257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-941-3200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2007