Provider First Line Business Practice Location Address:
480 CENTRAL AVENUE,
Provider Second Line Business Practice Location Address:
NAVAL HEALTH CLINIC HAWAII
Provider Business Practice Location Address City Name:
JBPHH
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-471-1866
Provider Business Practice Location Address Fax Number:
808-471-0918
Provider Enumeration Date:
02/21/2006