Organization
DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETERJOHN D CAMACHO MPH (DIRECTOR)
(671) 735-7101
Entity
Organization
Contact information
Practice address
520 W SANTA MONICA AVE, DEDEDO, GU 96929-5286
(671) 735-7101
(671) 734-5910
Mailing address
520 W SANTA MONICA AVE, DEDEDO, GU 96929-5286
(671) 735-7101
(671) 734-5910
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
NP0065
GU
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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