Individual
GIL ARTHUR ORTALIZ CLAVEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 KAYEN CHANDO, DEDEDO, GU 96929-5900
(671) 632-8100
Mailing address
138 KAYEN CHANDO, DEDEDO, GU 96929-5900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH0470
GU
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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