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Individual

MS. OFELIA L LOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDMS, RDCS

Contact information

Practice address
94-210 PUPUKAHI ST, SUITE 102, WAIPAHU, HI 96797-2649
(808) 678-6866
Mailing address
94-210 PUPUKAHI ST, SUITE 102, WAIPAHU, HI 96797-2649

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
16759

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000260372
HMSA
HI
01
582206
DSS
HI
Enumeration date
05/23/2007
Last updated
07/08/2007
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