Provider First Line Business Practice Location Address:
86-260 FARRINGTON HIGHWAY
Provider Second Line Business Practice Location Address:
WAIANAE COAST COMPREHENSIVE HEALTH CENTER ED
Provider Business Practice Location Address City Name:
WAIANAE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96792-3199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-697-3499
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2008