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Individual

DR. MARIA EDNA VILLACORTA SANTOS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
548 SOUTH MARINE CORPS DRIVE, TAMUNING, GU 96913
(671) 646-5824
(671) 647-3546
Mailing address
PO BOX 6578, TAMUNING, GU 96931-6578
(671) 646-6956
(671) 647-3546

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GU

Other

Enumeration date
04/06/2006
Last updated
07/08/2007
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