Provider First Line Business Practice Location Address:
1123F KAMEHAMEHA IV ROAD
Provider Second Line Business Practice Location Address:
UNIT 1129A
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-398-0019
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2020