Individual
JILLA PIROOZMANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5799 TAFUNA INDUSTRAIL PARK, PAGO PAGO, AS 96799
(684) 256-8650
Mailing address
PO BOX 2545, PAGO PAGO, AS 96799-2545
(684) 256-8650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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