Doctor Name: | CLAUDIA FERNANDA CAMPUZANO |
NPI Number: | 1083955074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA-93 |
Business Practice Address: | 851 Gov Carlos G Camacho Rd Tamuning, GU - 969133153 |
Business Phone Number: | 6713000827 |
Business Fax Number: | 6716470832 |
Mailing Address: | Po Box 11409, TAMUNING |
State: | GUAM |
Postal Code: | 96931 |
Phone Number: | 6713000827 |
Fax Number: | 6716470832 |
NPI Enumeration Date: | 03/15/2013 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA-93 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |