Organization
PACIFIC SLEEP CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERDINAND MACAIBAY SANDOVAL (VICE PRESIDENT)
(684) 633-2838
Entity
Organization
Contact information
Practice address
4445 MATUU ROAD, PAGO PAGO, AS 96799-4445
(684) 633-2838
(684) 633-5838
Mailing address
4445 MATUU ROAD, PAGO PAGO, AS 96799
(684) 633-2838
(684) 633-5838
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
1408
AS
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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