Organization
MARIANAS MEDICAL PROVIDERS, LLC
Active
Other names
Mmp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE SA LIZAMA (ADMINISTRATOR)
(671) 689-2128
Entity
Organization
Contact information
Practice address
182 CHALAN MACAJNA, AGANA HEIGHTS, GU 96910-6113
(671) 689-2128
(671) 633-4452
Mailing address
P.O. BOX 3431, HAGATNA, GU 96932-8901
(671) 689-2128
(671) 633-4452
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
GU
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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