MEDICARE: MS. SYLVIA MANN M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1902889249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYLVIA MANN M.S.

Provider Business Mailing Address
First Line	:	741 SUNSET AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2343
Country	:	US
Telephone Number	:	808-733-9063
Fax Number	:	808-733-9068

Provider Business Practice Location Address
First Line	:	741 SUNSET AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2311
Country	:	US
Telephone Number	:	808-733-9055
Fax Number	:	808-733-9068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	07/12/2022

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