Individual
EVELINE LOUISE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69-555 WAIKOLOA BEACH DR, #301, WAIKOLOA, HI 96738-5713
(808) 464-0208
Mailing address
PO BOX 385586, WAIKOLOA, HI 96738-0586
(808) 464-0208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1242
HI
Other
Enumeration date
07/06/2009
Last updated
04/28/2016
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