Individual
RUSSEL GUICO GOZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
MARIANAS HEALTH BUILDING LLC SUITE 102, GHIYEGHI ST. SAN JOSE, SAIPAN, MP 96950-8903
(670) 233-4646
(670) 233-4648
Mailing address
POB 10003 PMB 1341, SAIPAN, MP 96950
(670) 233-4646
(670) 233-4648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002
MP
225200000X
Physical Therapy Assistant
06006827A
IN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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