Provider First Line Business Practice Location Address:
1010 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 213
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-0099
Provider Business Practice Location Address Fax Number:
808-593-0994
Provider Enumeration Date:
06/09/2010