Individual
SYLVIA SOO JUNG KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1356 LUSITANA ST, HONOLULU, HI 96813-2409
(808) 586-2920
Mailing address
1356 LUSITANA ST, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MDR-8246
HI
Other
Enumeration date
04/12/2022
Last updated
04/26/2022
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