Individual
MICHELLE THERESE AGUIGUI SANNICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
#162 AS APMAN DRIVE, INARAJAN COMMUNITY HEALTH CENTER, INARAJAN, GU 96929
(671) 828-7501
(671) 828-7504
Mailing address
128 ATIS CT, SANTA RITA, GU 96915-1512
(671) 565-5191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH092
GU
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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