Individual
DAHLIA OCTAVIANO SAPALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
151 AGA DR, SANTA RITA, GU 96915-1508
(671) 489-1366
Mailing address
151 AGA DR, SANTA RITA, GU 96915-1508
(671) 489-1366
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP0240
GU
363LG0600X
Gerontology Nurse Practitioner
NP0240
GU
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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