Provider First Line Business Practice Location Address:
2470 S KING ST
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:
96826-5808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-947-2651
Provider Business Practice Location Address Fax Number:
808-942-4144
Provider Enumeration Date:
06/13/2018