Provider First Line Business Practice Location Address:
1010 S KING ST STE 403
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:
96814-1705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-589-2486
Provider Business Practice Location Address Fax Number:
808-598-6698
Provider Enumeration Date:
11/21/2006