Maricon Manalac
Registered Nurse in Agana Heights, GU. Individual provider (NPI-1).
NPI number1407600232
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1407600232
- Entity type
- Individual (NPI-1)
- Name
- Ms. Maricon Manalac
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RX0994 | GU | Yes |
Practice location
498 Chalan PalasyoAgana Heights, GU 96910
Phone 671-475-5760
Mailing address
1779 Army Drive Pmb 278 Suite 105Tamuning, GU 96913
Phone 671-486-2961
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