Provider First Line Business Practice Location Address:
87-2116 FARRINGTON HWY
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
WAIANAE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96792-3854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-432-3568
Provider Business Practice Location Address Fax Number:
808-432-3515
Provider Enumeration Date:
09/12/2006