Individual
MR. JOEL MENDOZA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 646-5825
(671) 647-3556
Mailing address
PO BOX 6578, TAMUNING, GU 96931-6578
(671) 646-6956
(671) 647-3556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OL-026
GU
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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