Provider First Line Business Practice Location Address:
1960 E WEST RD
Provider Second Line Business Practice Location Address:
BIOMEDICAL SCIENCES BLDG., RM D104M, UNIV OF HAWAII
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-2323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-956-8267
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2013