Whalio Doctors

NPI 1154381515

Marlene R San Nicolas, OD

Practitioner Optometrist Tamuning, GU

Practice location

Address
415 Chalan San Antonio Suite 111-113, Tamuning, GU 96913-3620
Phone
(671) 648-3350
Fax
(671) 647-3546
Mailing address
PO Box 6578, Tamuning, GU 96931-6578

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OL027 (GU)

Registry record

NPI
1154381515
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Mar 2006
Record last updated
27 Feb 2013

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.