Provider First Line Business Practice Location Address:
443 KALEWA ST
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:
96819-1811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-836-3391
Provider Business Practice Location Address Fax Number:
808-836-4614
Provider Enumeration Date:
12/06/2023