Provider First Line Business Practice Location Address:
1010 S KING ST STE 304
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:
96814-1704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-596-0164
Provider Business Practice Location Address Fax Number:
808-596-0165
Provider Enumeration Date:
07/31/2009