Provider First Line Business Practice Location Address:
6700 KALANIANAOLE HWY STE 106
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:
96825-1278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-751-7193
Provider Business Practice Location Address Fax Number:
808-451-2060
Provider Enumeration Date:
05/31/2024