Provider First Line Business Practice Location Address:
1337 LOWER CAMPUS RD
Provider Second Line Business Practice Location Address:
UNIVERSITY OF HAWAII AT MANOA PE/A 219
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-2352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-956-8223
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2015