Provider First Line Business Practice Location Address:
TAMC 1 JARRETT-WHITE RD.
Provider Second Line Business Practice Location Address:
1 JARRETT-WHITE RD. / MCHK-DSC
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-4875
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2005