Provider First Line Business Practice Location Address:
315 BRANNON ROAD
Provider Second Line Business Practice Location Address:
BUILDING 674 - ROOM 2032 - DESMOND DOSS HEALTH CLINIC
Provider Business Practice Location Address City Name:
SCHOFIELD BARRACKS
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96857-5460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-8134
Provider Business Practice Location Address Fax Number:
808-433-8597
Provider Enumeration Date:
12/17/2014