Provider First Line Business Practice Location Address:
480 CENTRAL AVE.
Provider Second Line Business Practice Location Address:
NAVAL HEALTH CLINIC HAWAII
Provider Business Practice Location Address City Name:
JBPHH
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-474-4242
Provider Business Practice Location Address Fax Number:
808-471-1437
Provider Enumeration Date:
06/14/2013