MISS Marlene R San Nicolas, O.D.

NPI #1154381515 in Tamuning, Guam

Provider Information

NPI Number: 1154381515
Entity Type: Individual
Name: MISS Marlene R San Nicolas, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 28, 2006
Last Updated: Feb 27, 2013

Practice Location

Address: 415 CHALAN SAN ANTONIO
Address 2: SUITE 111-113
City: Tamuning
State: Guam
ZIP Code: 96913-3620
Phone: (671) 648-3350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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