Provider First Line Business Practice Location Address:
928 NUUANU AVE LOWR LEVEL
Provider Second Line Business Practice Location Address:
STE 2
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-5193
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-465-8740
Provider Business Practice Location Address Fax Number:
725-215-9036
Provider Enumeration Date:
07/03/2024