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Organization
SAELUA MEDICAL CORPORATION
Active
Organization
SAELUA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLA PIROOZMANDI MBA (BOARD SECRETARY)
(684) 256-8650
Entity
Organization
Contact information
Practice address
5799 TAFUNA INDUSTRIAL PARK, BLDG #3, PAGO PAGO, AS 96799-5799
(684) 256-3942
Mailing address
PO BOX 5799, PAGO PAGO, AS 96799-5799
(684) 256-3942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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