Individual
MRS. ELIZABETH QUILITIS CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 2ND ST OCEAN VISTA TIYAN, MAITE, GU 96910
(671) 477-5782
Mailing address
PO BOX 1606, HAGATNA, GU 96932-1606
(671) 477-5782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LX0360
GU
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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