Organization
EXPRESSCARE HEALTH AND SKIN CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITKA LOM M.D. (PRESIDENT)
(671) 477-2873
Entity
Organization
Contact information
Practice address
302 SOUTH ROUTE 4, SUITE 207, HAGATNA, GU 96932
(671) 477-2873
(671) 472-2873
Mailing address
302 SOUTH ROUTE 4, SUITE 207, HAGATNA, GU 96932
(671) 477-2873
(671) 472-2873
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
M1288
GU
Other
Enumeration date
07/29/2015
Last updated
08/21/2015
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