Provider First Line Business Practice Location Address:
1150 S. KING ST.
Provider Second Line Business Practice Location Address:
SUITE 507
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-9310
Provider Business Practice Location Address Fax Number:
808-597-8873
Provider Enumeration Date:
10/03/2006