Provider First Line Business Practice Location Address:
459 PATTERSON RD. (122RSY)
Provider Second Line Business Practice Location Address:
DEPT. OF VETERANS AFFAIRS - PIHCS
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-9898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-7648
Provider Business Practice Location Address Fax Number:
808-433-7744
Provider Enumeration Date:
05/17/2013