Provider First Line Business Practice Location Address:
232 KAIULANI AVE
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:
96815-3063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-495-2304
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2021