Provider First Line Business Practice Location Address:
1190 WAIANUENUE ST
Provider Second Line Business Practice Location Address:
HILO MEDICAL CENTER
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-974-6841
Provider Business Practice Location Address Fax Number:
808-935-1889
Provider Enumeration Date:
04/28/2006