Individual
MARYANN LUMBA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
498 CHALAN PALOSYO, AGANA HEIGHTS, GU 96910-6427
(671) 475-5760
Mailing address
PO BOX 11072, YIGO, GU 96929-0072
(671) 480-5534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95215094
CA
163W00000X
Registered Nurse
Primary
RX0708
GU
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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