Provider First Line Business Practice Location Address:
683 WAIANAE AVENUE, BLDG 674
Provider Second Line Business Practice Location Address:
DESMOND T. DOSS ARMY HEALTH CENTER, SPORTS MEDICINE
Provider Business Practice Location Address City Name:
WAHIAWA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-8031
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2015