Provider First Line Business Practice Location Address:
1521 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 405
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-1942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-5664
Provider Business Practice Location Address Fax Number:
808-946-5674
Provider Enumeration Date:
10/07/2008