Provider First Line Business Practice Location Address:
1314 S KING ST STE 653
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:
96814-1979
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-9208
Provider Business Practice Location Address Fax Number:
808-591-9218
Provider Enumeration Date:
11/12/2018