Provider First Line Business Practice Location Address:
1702 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:
96826-2042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-941-7505
Provider Business Practice Location Address Fax Number:
808-949-7040
Provider Enumeration Date:
09/23/2009