Provider First Line Business Practice Location Address:
1314 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 1258
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-596-8116
Provider Business Practice Location Address Fax Number:
808-596-8116
Provider Enumeration Date:
12/13/2006