Individual
BANNUAR EMMANUEL TOMBOC QUIAOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
125 TUN JESUS CRISOSTOMO ST STE 104, TAMUNING, GU 96913-3551
(671) 649-8638
Mailing address
125 TUN JESUS CRISOSTOMO ST STE 104, TAMUNING, GU 96913-3551
(671) 649-8638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100022
GU
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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