Provider First Line Business Practice Location Address:
2153 N KING ST
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-4570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-5515
Provider Business Practice Location Address Fax Number:
808-848-1588
Provider Enumeration Date:
10/08/2010