NPI 1407600232

Maricon Manalac

Practitioner Registered Nurse Agana Heights, GU

Practice location

Address: 498 Chalan Palasyo, Agana Heights, GU 96910
Phone: (671) 475-5760
Mailing address: 1779 Army Drive Pmb 278 Suite 105, Tamuning, GU 96913

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RX0994 (GU)

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Registry record

NPI: 1407600232
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2024
Record last updated: 17 Apr 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.