Individual
LEAN CARLO MENDOZA LOSINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
520 W SANTA MONICA AVE, DEDEDO, GU 96929-5286
(671) 635-4422
(671) 635-7493
Mailing address
113 N LEMAI CT, DEDEDO, GUAM 96929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP0211
GU
367A00000X
Advanced Practice Midwife
Primary
NP0211
GU
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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