Provider First Line Business Practice Location Address:
459 PATTERSON ROAD
Provider Second Line Business Practice Location Address:
VAPIHCS
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-1710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-440-5309
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2006