Provider First Line Business Practice Location Address:
1350 S KING ST
Provider Second Line Business Practice Location Address:
309
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-589-1156
Provider Business Practice Location Address Fax Number:
808-589-1404
Provider Enumeration Date:
06/29/2012