Individual
JORDAN MICHAEL DUENAS TINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
224 FARENHOLT AVE, TAMUNING, GU 96913-3224
(671) 647-0110
Mailing address
224 FARENHOLT AVE, TAMUNING, GU 96913-3224
(671) 647-0110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212851
VA
Other
Enumeration date
06/05/2019
Last updated
06/11/2019
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