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Individual

KRISTINE NAE UY PEDRAJAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
125 CHOTDA COURT, LIGUAN TERRACE, DEDEDO, GU 96921
(671) 777-2587
Mailing address
PO BOX 27084, BARRIGADA, GU 96921-6943
(671) 777-2587

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RE1384
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1228087402
GUAM DRIVERS LICENSE
GU
Enumeration date
01/25/2023
Last updated
01/25/2023
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