Whalio Doctors

NPI 1255484275

Florencio T. Lizama

Organisation Specialist Tamuning, GU

Practice location

Address
177 Chalan Pasaheru STE C, Tamuning, GU 96913-4161
Phone
(671) 647-6201
Fax
(671) 649-4507
Mailing address
PO Box 3431, Hagatna, GU 96932-3431

Authorised official

Name
Pauline Sa Lizama
Title
Clinic Manager
Phone
(671) 477-4215

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence MOOO938 (GU)

Registry record

NPI
1255484275
Entity type
Organization
NPI issued
21 Jan 2007
Record last updated
19 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.