Individual
SYDNEY KOPPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 N 3RD ST, COEUR D ALENE, ID 83814-3540
(208) 261-1158
Mailing address
1919 N 3RD ST, COEUR D ALENE, ID 83814-3540
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
ID
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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