Provider First Line Business Practice Location Address:
1337 WANAKA 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:
96818-1135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-227-3396
Provider Business Practice Location Address Fax Number:
808-744-2567
Provider Enumeration Date:
10/08/2019