Provider First Line Business Practice Location Address:
691 SCHOFIELD BARRACKS
Provider Second Line Business Practice Location Address:
U.S ARMY HEALTH CLINIC BLDG
Provider Business Practice Location Address City Name:
WAHIAWA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-8616
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2010