Provider First Line Business Practice Location Address:
1030 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:
96814-2114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-591-8402
Provider Business Practice Location Address Fax Number:
808-591-8408
Provider Enumeration Date:
03/02/2018