Provider First Line Business Practice Location Address:
1620 N SCHOOL 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:
96817-1844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-0724
Provider Business Practice Location Address Fax Number:
808-842-0726
Provider Enumeration Date:
09/02/2019