Individual
MRS. BARBARA ANN IDECHIIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
396 CHALAN SAN ANTONIO BRI BUILDING, SUITE 102, TAMUNING, GU 96913-5663
(671) 646-6877
(671) 647-1606
Mailing address
PO BOX 9663, TAMUNING, GU 96931-5663
(671) 977-2724
(671) 647-1606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RX0284
GU
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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