Individual
CARESSA ELISABETH KASPERBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23PA03
GU
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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