Provider First Line Business Practice Location Address:
127 KAIKAI ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAILUKU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96793-8328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-344-0124
Provider Business Practice Location Address Fax Number:
808-207-2676
Provider Enumeration Date:
12/23/2025