Provider First Line Business Practice Location Address:
459 PATTERSON RD
Provider Second Line Business Practice Location Address:
VAPIHCS
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-0600
Provider Business Practice Location Address Fax Number:
808-433-7715
Provider Enumeration Date:
05/18/2006