Provider First Line Business Practice Location Address:
1314 S KING ST STE 1655
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:
96814-1950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-924-7246
Provider Business Practice Location Address Fax Number:
808-591-9343
Provider Enumeration Date:
12/31/2018