Individual
CONCORDIO JR BALDREZ DE QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96799 TURNER DRIVE, PAGO PAGO, AS 96799
(684) 633-1222
Mailing address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AS
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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