Provider First Line Business Practice Location Address:
1943 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:
96826-2139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-946-4939
Provider Business Practice Location Address Fax Number:
808-949-5452
Provider Enumeration Date:
09/06/2013