Provider First Line Business Practice Location Address:
2001 VICTOR WHARF ACCESS RD
Provider Second Line Business Practice Location Address:
NSWG-3 SPORTS MEDICINE
Provider Business Practice Location Address City Name:
PEARL CITY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96782-3400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-805-5435
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2006