Individual
RAYMOND MICHAEL MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
SMC ALTERNATIVE MEDICINE CLINIC, TAFUNA VILLAGE, PAGO PAGO, AS 96799
(684) 252-3552
(808) 748-0761
Mailing address
PO BOX 6590, PAGO PAGO, AS 96799-6286
(684) 252-3552
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
842021
AS
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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