Provider First Line Business Practice Location Address:
1010 S KING ST STE 218A
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:
96814-1703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-9944
Provider Business Practice Location Address Fax Number:
808-593-9955
Provider Enumeration Date:
12/19/2017