Individual
DR. SIRILO NADAVELEVU LAQERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3965,TAFUNA COMMUNITY HEALTH CENTER, PETESA RD, TA'U COMMUNITY HEALTH CLINIC, PAGOPAGO, AS 96799
(684) 633-5871
Mailing address
PO BOX 998214, PAGO PAGO, AS 96799-6312
(684) 782-7977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4115C
AS
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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