Individual
MS. SUSANA MARIETA PENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
96799 TURNER DRIVE, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-5107
Mailing address
96799 TURNER DRIVE, PAGO PAGO, AS 96799-0010
(684) 633-1222
(684) 633-5207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4128-C
AS
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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