Provider First Line Business Practice Location Address:
42-470 KALANIANAOLE HWY BLDG 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAILUA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96734-4373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-371-1128
Provider Business Practice Location Address Fax Number:
808-266-9557
Provider Enumeration Date:
11/05/2024