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Individual

QUENIE-MEI TULIAO FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
790 GOVERNOR CARLOS CAMACHO RD, TAMUNING, GU 96913
(671) 647-0347
(671) 647-5403
Mailing address
PO BOX 9755, TAMUNING, GU 96931-5755
(671) 647-0347
(671) 647-5403

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH0153
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619928264
GU
Enumeration date
10/02/2019
Last updated
08/04/2021
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