Individual
DELORES JOHANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929-6544
(671) 633-4447
Mailing address
PO BOX CU, HAGATNA, GU 96932-7623
(671) 483-3060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-1991
GU
Other
Enumeration date
04/18/2013
Last updated
12/10/2018
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