Organization
HAGANTA CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA T CRUZ MD (OWNER)
(671) 479-6363
Entity
Organization
Contact information
Practice address
277 W CHALAN SANTO PAPA, HAGATNA, GU 96910-5115
(671) 479-6363
(671) 479-4329
Mailing address
277 W CHALAN SANTO PAPA, HAGATNA, GU 96910-5115
(671) 479-6363
(671) 479-4329
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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