Individual
MR. BENITO SANTOS SERVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 IGLESIAS CIR, DEDEDO, GU 96929-5328
(671) 898-8695
Mailing address
PO BOX 21156, BARRIGADA, GU 96921-1156
(671) 898-8695
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
2405675
GU
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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