Provider First Line Business Practice Location Address:
801 S KING ST
Provider Second Line Business Practice Location Address:
#2909
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-561-3672
Provider Business Practice Location Address Fax Number:
808-528-3894
Provider Enumeration Date:
07/03/2012