Individual
DR. RENEE L.G. KOFFEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
341 S MARINE CORPS DR, R.K. PLAZA, SUITE 101B, TAMUNING, GU 96913-3970
(671) 989-8378
Mailing address
341 S MARINE CORPS DR, R.K. PLAZA, SUITE 101B, TAMUNING, GU 96913-3970
(671) 989-8378
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062
—
GU
Enumeration date
09/26/2006
Last updated
12/13/2016
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