Provider First Line Business Practice Location Address:
1305 NAKUINA 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:
96819-4143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-436-5460
Provider Business Practice Location Address Fax Number:
808-845-9018
Provider Enumeration Date:
03/05/2020