Provider First Line Business Practice Location Address:
1350 S KING ST STE 214
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:
96814-2008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-900-8480
Provider Business Practice Location Address Fax Number:
808-900-8481
Provider Enumeration Date:
07/28/2020