Individual
LISHA HASSKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1088 W MARINE CORPS DR STE 239, DEDEDO, GU 96929-5553
(671) 637-2873
Mailing address
126 E DAOG CT, DEDEDO, GU 96929-5527
(671) 787-5252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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