Provider First Line Business Practice Location Address:
SUSUPE BEACH ROAD, JM MANGLONA BUILDING UNIT 2
Provider Second Line Business Practice Location Address:
JOAQUIN M. MANGLONA DBA UNIVERSAL HEALTH CARE
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950-8903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-235-7642
Provider Business Practice Location Address Fax Number:
670-235-7642
Provider Enumeration Date:
04/20/2012