Individual
DR. RANDEL KEVIN DEWEES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3936 INDUSTRIAL PARK WAY, PAGO PAGO, AS 96799
(684) 256-3942
Mailing address
PO BOX 3936, PAGO PAGO, AS 96799-3936
(684) 258-4252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31221
AS
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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