Provider First Line Business Practice Location Address:
1279 S KING ST # 1
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:
96814-2270
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-369-2242
Provider Business Practice Location Address Fax Number:
888-731-7575
Provider Enumeration Date:
05/03/2012