Organization
THE PEDIATRIC & ADOLESCENTS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINA D DOMALANTA-VILLALUNA MD (PRESIDENT)
(671) 647-7337
Entity
Organization
Contact information
Practice address
415 CHALAN SAN ANTONIO STE 109, TAMUNING, GU 96913-3620
(671) 647-7337
(671) 647-7336
Mailing address
415 CHALAN SAN ANTONIO STE 109, TAMUNING, GU 96913-3620
(671) 647-7337
(671) 647-7336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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