Provider First Line Business Practice Location Address:
1244 NORTH MARINE CORPS DRIVE
Provider Second Line Business Practice Location Address:
AMERICAN MEDICAL CENTER
Provider Business Practice Location Address City Name:
UPPER TUMON
Provider Business Practice Location Address State Name:
GU
Provider Business Practice Location Address Postal Code:
96913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
671-647-8262
Provider Business Practice Location Address Fax Number:
671-647-8257
Provider Enumeration Date:
02/26/2007