Provider First Line Business Practice Location Address:
459 PATTERSON RD
Provider Second Line Business Practice Location Address:
MATSUNAGA VAMC 2ND FL
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
99681-1522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-0790
Provider Business Practice Location Address Fax Number:
808-433-7731
Provider Enumeration Date:
10/13/2006