Provider First Line Business Practice Location Address:
1314 S KING STREET
Provider Second Line Business Practice Location Address:
SUITE 419
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-8855
Provider Business Practice Location Address Fax Number:
808-591-8340
Provider Enumeration Date:
05/25/2007