Individual
DR. JONETANI TAWAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOM
Contact information
Practice address
AMERICAN SAMOA GOVERNMENT, BOX LBJ, PAGO PAGO, AS 96799
(684) 633-1683
(684) 633-5107
Mailing address
96799 TURNER DRIVE, PAGO PAGO, AS 96799
(684) 633-1683
(684) 633-5107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F96799
AS
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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