Provider First Line Business Practice Location Address:
1290 S 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:
96814-1920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-596-8210
Provider Business Practice Location Address Fax Number:
808-593-7923
Provider Enumeration Date:
11/16/2006