Provider First Line Business Practice Location Address:
2211 KALIHI 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:
96819-3612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-364-6357
Provider Business Practice Location Address Fax Number:
808-845-2308
Provider Enumeration Date:
06/14/2025