Organization
GUAM PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IONE DE JESUS M.D. (PSYCHIATRIST)
(671) 649-7792
Entity
Organization
Contact information
Practice address
241 FARENHOLT AVE, SUITE 105 OKA BLDG, TAMUNING, GU 96913-0000
(671) 649-7792
Mailing address
PO BOX 10421, TAMUNING, GU 96931-0421
(671) 649-7792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
195912
NY
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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