Provider First Line Business Practice Location Address:
2119 N KING ST
Provider Second Line Business Practice Location Address:
102
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-4550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-3641
Provider Business Practice Location Address Fax Number:
808-841-3667
Provider Enumeration Date:
08/29/2006