Provider First Line Business Practice Location Address:
1640 S KING STREET
Provider Second Line Business Practice Location Address:
WAIKIKI HEALTH CENTER CARE A VAN
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-922-4790
Provider Business Practice Location Address Fax Number:
808-922-4780
Provider Enumeration Date:
08/04/2008