NPI 1417030818

Joseph L. Lescano

Organisation Prosthetic/Orthotic Supplier Dededo, GU

Practice location

Address: 2221 Army Dr STE 209 Manhattan Plaza, Dededo, GU 96929
Phone: (671) 647-5477
Fax: (671) 646-6876
Mailing address: PO Box 5622, Hagatna, GU 96929

Authorised official

Name: Mona M Manlutac
Title: Office Manager
Phone: (671) 647-5477

Registered specialties (4)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Guam →

Sleep Disorder Diagnostic Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QS1200X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Medical Foods Supplier

Suppliers Taxonomy 335G00000X

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Registry record

NPI: 1417030818
Entity type: Organization
NPI issued: 23 Oct 2006
Record last updated: 24 Oct 2017

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.