Government of Guam Department of Administration

NPI #1972577104 in Dededo, Guam

Provider Information

NPI Number
1972577104
Entity Type
Organization
Organization Name
Government of Guam Department of Administration
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 14, 2006
Last Updated
Jun 14, 2022

Practice Location

Address
520 W SANTA MONICA AVE
City
Dededo
State
Guam
ZIP Code
96929-5286
Phone
(671) 635-7492

Authorized Official

Name
MARY JANE H CAPUZ
Title
ACCOUNTANT II
Phone
(671) 635-7545

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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