Provider First Line Business Practice Location Address:
BLDG 694 POST EXCHANGE
Provider Second Line Business Practice Location Address:
SUITE 11
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-748-8900
Provider Business Practice Location Address Fax Number:
808-748-8941
Provider Enumeration Date:
10/18/2010