Provider First Line Business Practice Location Address:
2104 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:
96826-2232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-6608
Provider Business Practice Location Address Fax Number:
808-946-4555
Provider Enumeration Date:
06/17/2005