Provider First Line Business Practice Location Address:
1410 LOWER CAMPUS RD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF CSD UNIVERSITY OF HAWAI'I AT MANOA
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-2313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-956-6362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2011