Provider First Line Business Practice Location Address:
2421 KINI PL
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:
96819-2650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-646-0633
Provider Business Practice Location Address Fax Number:
808-842-1013
Provider Enumeration Date:
04/23/2026