Provider First Line Business Practice Location Address:
1350 S KING ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-348-6336
Provider Business Practice Location Address Fax Number:
808-744-8571
Provider Enumeration Date:
11/22/2011