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Individual

TASI ANN GUERRERO ADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, CSCS

Contact information

Practice address
185 DULCE NOMBRE DE MARIA DR, HAGATNA, GU 96910-4909
(671) 989-0436
Mailing address
PO BOX 3854, HAGATNA, GU 96932-3854
(671) 683-6600

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305214606
VA

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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