Organization
PACIFIC ECHOCARDIO LABORATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUSA L MAMALIGSA RN (CLINIC MANAGER DIRECTOR)
(671) 646-7357
Entity
Organization
Contact information
Practice address
416 CHALAN SAN ANTONIO RD, RM # 5 GOOD SAMARITAN CLINIC, TAMUNING, GU 96913-2635
(671) 646-7357
(671) 632-3853
Mailing address
PO BOX 12635, TAMUNING, GU 96931-2635
(671) 646-7357
(671) 632-3853
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
132001005501
GU
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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