Individual
JOSEPH JOHN BAZA MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 969-4844
Mailing address
PO BOX 5786, HAGATNA, GU 96932-8669
(671) 777-5925
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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