Provider First Line Business Practice Location Address:
1040 SOUTH KING STREET
Provider Second Line Business Practice Location Address:
SUITE 312
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-0520
Provider Business Practice Location Address Fax Number:
808-593-0520
Provider Enumeration Date:
11/26/2012