Guam Geriatrics Clinic

NPI #1487907234 in Tamuning, Guam

Provider Information

NPI Number: 1487907234
Entity Type: Organization
Organization Name: Guam Geriatrics Clinic
Primary Specialty: Clinic/Center
Enumeration Date: Oct 17, 2012
Last Updated: Apr 18, 2013

Practice Location

Address: 633 GOV CARLOS G CAMACHO RD
Address 2: STE. 205
City: Tamuning
State: Guam
ZIP Code: 96913-3194
Phone: (671) 649-7232

Authorized Official

Name: MRS. STEPHANIE ANN MANIBUSAN UNTALAN
Title: ADMINISTRATIVE ASSISTANT
Phone: (671) 649-7232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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