Organization
GUAM SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIVINA MESA RPSGT, RST (OPERATIONS MANAGER)
(671) 647-6669
Entity
Organization
Contact information
Practice address
535 N. MARINE CORPS DRIVE, UNIT 1A, TAMUNING, GU 96913
(671) 647-6669
(671) 647-6277
Mailing address
535 N MARINE CORPS DR STE 1A, TAMUNING, GU 96913-4112
(671) 647-6669
(671) 647-6277
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
13-200701593-001
GU
Other
Enumeration date
12/05/2007
Last updated
07/28/2020
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