Individual
MARY REYES BORJA X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412A NIMITZ BEACH, RT 2, AGAT, GU 96928
(671) 989-5071
Mailing address
PO BOX 8398, AGAT, GU 96928-1398
(671) 487-6822
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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