Provider First Line Business Practice Location Address:
1916 N 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:
96819-3453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-853-2337
Provider Business Practice Location Address Fax Number:
808-845-2637
Provider Enumeration Date:
09/10/2009