Individual
MRS. ANTONETTE SANTOS PADUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 DARWIN LN, TALOFOFO, GU 96915-3723
(671) 777-3202
Mailing address
125 DARWIN LN, TALOFOFO, GU 96915-3723
(671) 777-3202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
135
GU
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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