Individual
MICHELLE KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
45485 MIRAMAR WAY, CALIFORNIA, MD 20619-3191
(240) 434-1907
Mailing address
45485 MIRAMAR WAY, CALIFORNIA, MD 20619-3191
(240) 434-1907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2705
MD
Other
Enumeration date
08/01/2018
Last updated
06/30/2023
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