Individual
DR. RICARDO MARK TERLAJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 CARLOS LN, TAMUNING, GU 96913-4339
(671) 649-5052
Mailing address
PO BOX 25566, BARRIGADA, GU 96921-5566
(671) 649-5052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-1165
GU
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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