Individual
CASIANA LENAE CERAOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 FARENHOLT AVENUE, TAMUNING, GU 96913
(671) 649-7000
Mailing address
PO BOX 2225, HAGATNA, GU 96932-2225
(671) 689-2866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GU
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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