Provider First Line Business Practice Location Address:
2155 KALAKAUA AVE STE 308
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:
96815-2354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-924-3399
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2019