Provider First Line Business Practice Location Address:
1010 S KING ST
Provider Second Line Business Practice Location Address:
STE 106
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-486-7199
Provider Business Practice Location Address Fax Number:
808-486-7167
Provider Enumeration Date:
07/15/2006