Individual
MR. NATHANIEL R NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
FARENHOLT AVE, BUILDING #50, AGANA HEIGHTS, GU 96910
(671) 344-9222
Mailing address
PSC 455 BOX 208, MULTI-SERVICE UNIT DEPARTMENT, FPO, AP 96540
(671) 344-9208
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
5095
CA
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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