Marianas Medical Providers, LLC
NPI #1922435320 in Agana Heights, Guam
Provider Information
- NPI Number
- 1922435320
- Entity Type
- Organization
- Organization Name
- Marianas Medical Providers, LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 30, 2013
- Last Updated
- Sep 30, 2013
Practice Location
- Address
- 182 CHALAN MACAJNA
- City
- Agana Heights
- State
- Guam
- ZIP Code
- 96910-6113
- Phone
- (671) 689-2128
Authorized Official
- Name
- MRS. PAULINE SA LIZAMA
- Title
- ADMINISTRATOR
- Phone
- (671) 689-2128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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