Individual
DARYL TOLENTINO CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
643 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3644
(671) 735-8000
Mailing address
143 DULALAS LOOP # 506, YIGO, GU 96929-2411
(671) 929-6416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LX0513
GU
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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