Mariano Prime LLC

NPI #1780959676 in Tamuning, Guam

Provider Information

NPI Number
1780959676
Entity Type
Organization
Organization Name
Mariano Prime LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MARIANO PRIME LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 12, 2012
Last Updated
Mar 12, 2012

Practice Location

Address
255 FARENHOLT AVE
State
Guam
ZIP Code
96913-3209
Phone
(671) 649-5833

Authorized Official

Name
MR. MARK SURLA MARIANO
Title
GENERAL MANAGER
Phone
(671) 649-5833

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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