Provider First Line Business Practice Location Address:
1221 KAPIOLANI BLVD STE 248
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:
96814-3506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-779-2575
Provider Business Practice Location Address Fax Number:
808-595-0379
Provider Enumeration Date:
11/30/2022