NPI 1881388015

Benito Santos Servino

Practitioner Transportation Network Company Dededo, GU

Practice location

Address: 288 Iglesias Cir, Dededo, GU 96929-5328
Phone: (671) 898-8695
Mailing address: PO Box 21156, Barrigada, GU 96921-1156

Registered specialties

Transportation Network Company Primary

Transportation Services Taxonomy 342000000X Licence 2405675 (GU)

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Registry record

NPI: 1881388015
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2023
Record last updated: 8 Jun 2023

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.