Provider First Line Business Practice Location Address:
2035 KAMEHAMEHA 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:
96822-2102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-943-8766
Provider Business Practice Location Address Fax Number:
808-943-8799
Provider Enumeration Date:
01/04/2022