Provider First Line Business Practice Location Address:
1481 S KING ST STE 340
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:
96814-2602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-204-4664
Provider Business Practice Location Address Fax Number:
808-818-8486
Provider Enumeration Date:
05/07/2026