JASON ROBERT HANNIBAL

AGANA HEIGHTS, GU
NPI1043811201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60480)
Enumeration Date2020-11-04
Last Update Date2022-12-27
Business Address
JASON ROBERT HANNIBAL PA-C
50 FARENHOLT AVE
AGANA HEIGHTS, GU 96913
Phone number: 671-344-9340
Mailing Address
JASON ROBERT HANNIBAL PA-C
PSC 455 BOX 208 EMERGENCY DEPARTMENT
FPO, AP 96540
Phone number: 671-344-9340