Provider First Line Business Practice Location Address:
1215 HUNAKAI 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:
96816-4661
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-686-4200
Provider Business Practice Location Address Fax Number:
808-757-7003
Provider Enumeration Date:
09/16/2020