Provider First Line Business Practice Location Address:
94-871 FARRINGTON HWY STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAIPAHU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96797-3171
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-696-7000
Provider Business Practice Location Address Fax Number:
808-696-7003
Provider Enumeration Date:
07/09/2024