| NPI | 1982743803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUSA L MAMALIGSA Clinic Manager Director 671-646-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: GU 132001005501) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |