Provider First Line Business Practice Location Address:
2055 N KING ST STE 208
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:
96819-3462
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-843-1182
Provider Business Practice Location Address Fax Number:
808-843-1183
Provider Enumeration Date:
04/26/2007