Individual
MRS. MARY ANN SIBUG HONCULADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
#155 E.T. CALVO MEMORIAL PKWY, STE #102, TAMUNING, GU 96913
(671) 477-3472
(671) 477-3473
Mailing address
275 FARENHOLT AVE., SUITE G PMB 90, TAMUNING, GU 96913-3217
(671) 477-3472
(671) 477-3473
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT-123
GU
225100000X
Physical Therapist
Primary
PT-123
GU
Other
Enumeration date
05/12/2016
Last updated
11/03/2021
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