NPI 1700646288

The Pediatric & Adolescents Clinic INC.

Organisation Pediatrics Physician Tamuning, GU

Practice location

Address: 415 Chalan San Antonio STE 109, Tamuning, GU 96913-3620
Phone: (671) 647-7337
Fax: (671) 647-7336

Authorised official

Name: Dina D Domalanta-Villaluna
Title: President
Phone: (671) 647-7337

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Guam →

Pediatric Adolescent Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X

Registry record

NPI: 1700646288
Entity type: Organization
NPI issued: 20 Mar 2024
Record last updated: 20 Mar 2024

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.