Individual
LENORA MATANANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
472 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3605
(671) 647-1830
(671) 647-1919
Mailing address
472 CHALAN SAN ANTONIO, TAMUNING, GU 96913-3605
(671) 647-1830
(671) 647-1919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-38
GU
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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