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Individual

MAKALA MARIE BASCOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
US NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102206849
VA
208D00000X
General Practice Physician
Primary
0102206849
VA

Other

Enumeration date
04/29/2020
Last updated
07/23/2026
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