Individual
MS. TEMPLE GRACE SARZABA DECENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 646-5825
(671) 649-8083
Mailing address
PO BOX 6578, TAMUNING, GU 96931-6578
(671) 646-5825
(671) 649-8083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LX0384
GU
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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