# EXPRESSCARE HEALTH AND SKIN CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538544713
- **Authorized official:** JITKA LOM M.D. (PRESIDENT)
- **Authorized official phone:** (671) 477-2873

## Contact information

- **Practice address:** 302 SOUTH ROUTE 4, SUITE 207, HAGATNA, GU 96932
- **Practice address phone:** (671) 477-2873
- **Practice address fax:** (671) 472-2873
- **Mailing address:** 302 SOUTH ROUTE 4, SUITE 207, HAGATNA, GU 96932
- **Mailing address phone:** (671) 477-2873
- **Mailing address fax:** (671) 472-2873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | M1288 | GU | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 08/21/2015