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Organization

TAUTUA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRINCE FAUMUINA (CLINICAL DIRECTOR)
(684) 782-8255
Entity
Organization

Contact information

Practice address
KOREA HOUSE, ROUTE 1, EASTERN DISTRICT, PAGO PAGO, AS 96799
(684) 782-8255
Mailing address
PO BOX 1270, PAGO PAGO, AS 96799-1270
(684) 782-8255

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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