Provider First Line Business Practice Location Address:
2153 N KING ST
Provider Second Line Business Practice Location Address:
#314
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-847-3702
Provider Business Practice Location Address Fax Number:
808-847-3704
Provider Enumeration Date:
05/19/2008