Provider First Line Business Practice Location Address:
1620 N SCHOOL 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:
96817-1844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-832-8265
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2020