Individual
MRS. JOBETH SAN NICOLAS AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., MFT-124
Contact information
Practice address
194 HERNAN CORTEZ AVENUE, SUITE 210, HAGATNA, GU 96910
(671) 478-5407
Mailing address
P.O. BOX 2116, HAGATNA, GU 96932
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-124
GU
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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