Provider First Line Business Practice Location Address:
2310 KUHIO AVE STE 223
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:
96815-2983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-924-6688
Provider Business Practice Location Address Fax Number:
808-445-6111
Provider Enumeration Date:
04/05/2019