Individual
EDISON ANTONIO JR ISADA MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
MARIANAS HEALTH LLC BUILDING SUITE 102, GHIYEGHI ST. SAN JOSE, SAIPAN, MP 96950-8903
(670) 233-4646
(670) 233-4648
Mailing address
POB 10003 PMB 1341, SAIPAN, MP 96950-8903
(670) 233-4646
(670) 233-4648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0069
MP
Other
Enumeration date
04/04/2024
Last updated
04/08/2024
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