Provider First Line Business Practice Location Address:
1772 S KING ST
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:
96826-2135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-973-5851
Provider Business Practice Location Address Fax Number:
808-973-5856
Provider Enumeration Date:
09/21/2006