Provider First Line Business Practice Location Address:
2199 KAM HWY
Provider Second Line Business Practice Location Address:
OCCC HEALTH CARE UNIT
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-2307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-832-1678
Provider Business Practice Location Address Fax Number:
808-832-1681
Provider Enumeration Date:
07/10/2007