Provider First Line Business Practice Location Address:
USA HC, BLD 682
Provider Second Line Business Practice Location Address:
FAMILY PRACTICE
Provider Business Practice Location Address City Name:
SCHOFIELD BARRACKS
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96857-5460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-8155
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2005