Provider First Line Business Practice Location Address:
1301 PUNCHBOWL STREET
Provider Second Line Business Practice Location Address:
THE QUEEN'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-691-4291
Provider Business Practice Location Address Fax Number:
808-691-5028
Provider Enumeration Date:
11/13/2006