Provider First Line Business Practice Location Address:
1314 SOUTH KING STREET
Provider Second Line Business Practice Location Address:
SUITE 502
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-589-2611
Provider Business Practice Location Address Fax Number:
808-589-2611
Provider Enumeration Date:
02/09/2007