Individual
DR. SAM ERONI FULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
TAFUNA HEALTH CENTER, PETESA RD, TAFUNA, PAGO PAGO, AS 96799
(684) 699-6380
Mailing address
TAFUNA HEALTH CENTER, PETESA RD, TAFUNA, PAGO PAGO, AS 96799
(684) 699-6380
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
5063C
AS
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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