Provider First Line Business Practice Location Address:
2820 KALIHI ST APT B
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:
96819-3060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-847-2820
Provider Business Practice Location Address Fax Number:
808-847-2820
Provider Enumeration Date:
01/28/2021