NPI 1487088217

Ma Ivy Clemente

Practitioner Pathology Specialist/Technologist Pago Pago, AS

Practice location

Address: PO Box Lbj, Pago Pago, AS 96799-0010
Phone: (684) 633-1222
Fax: (684) 633-2893

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence 2061-C (AS)

Other Specialist/Technologist, Pathology providers in American Samoa →

Registry record

NPI: 1487088217
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2013
Record last updated: 28 Aug 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.