Provider First Line Business Practice Location Address:
1451 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 313
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-384-4695
Provider Business Practice Location Address Fax Number:
888-393-2539
Provider Enumeration Date:
08/08/2009