Individual
MR. MATTHEW NOEL KOANUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-420 LAKAU PL, WAIPAHU, HI 96797-1501
(808) 348-3676
Mailing address
94-420 LAKAU PL, WAIPAHU, HI 96797-1501
(808) 348-3676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1348
HI
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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