Aedificare, LLC

NPI #1922699156 in Hagatna, Guam

Provider Information

NPI Number: 1922699156
Entity Type: Organization
Organization Name: Aedificare, LLC
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Jan 30, 2021
Last Updated: Mar 20, 2023

Practice Location

Address: 347 W OBRIEN DR STE 1
City: Hagatna
State: Guam
ZIP Code: 96910-5050
Phone: (671) 682-0140

Authorized Official

Name: DIANNA M LE, CPO, MSOP
Title: CLINICIAN, OWNER
Phone: (671) 682-0140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X	Primary

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