Provider First Line Business Practice Location Address:
1710 EAST WEST ROAD
Provider Second Line Business Practice Location Address:
UNIVERSITY OF HAWAII AT MANOA UHS
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-956-6221
Provider Business Practice Location Address Fax Number:
808-856-0853
Provider Enumeration Date:
06/28/2006