Provider First Line Business Practice Location Address:
1314 S KING ST
Provider Second Line Business Practice Location Address:
STE 862
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-527-4474
Provider Business Practice Location Address Fax Number:
808-536-1836
Provider Enumeration Date:
05/20/2009