Individual
JILL KEIKO KOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 536-3764
Mailing address
1090 ALA NAPUNANI ST APT 206, HONOLULU, HI 96818-1790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
906
HI
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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