Provider First Line Business Practice Location Address:
1301 PUNCHBOWL ST
Provider Second Line Business Practice Location Address:
THE QUEENS MEDICAL CENTER HEAD AND NECK POD 1 SUITE 615
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-369-7450
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2016