Provider First Line Business Practice Location Address:
MAKALPA PEDS CLINIC, NAVAL MEDICAL CLINIC
Provider Second Line Business Practice Location Address:
PEARL HARBOUR
Provider Business Practice Location Address City Name:
HONOLULU
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:
808-473-1880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2005