Provider First Line Business Practice Location Address:
1314 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 1564
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-1956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-888-9971
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2011