Organization
JOSEPH L. LESCANO
Active
Parent organization
JOSEPH L LESCANO DBA MEDQUEST MEDICAL SUPPLY
Other names
Pacific Sleep Care & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH L LESCANO DBA MEDQUEST MEDICAL SUPPLY
Authorized official
MRS. MONA M MANLUTAC (OFFICE MANAGER)
(671) 647-5477
Entity
Organization
Contact information
Practice address
2221 ARMY DR STE 209 MANHATTAN PLAZA, DEDEDO, GU 96929
(671) 647-5477
(671) 646-6876
Mailing address
PO BOX 5622, HAGATNA, GU 96929
(671) 647-5477
(671) 646-6876
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
GU
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M0098148
—
GU
Enumeration date
10/23/2006
Last updated
10/24/2017
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