Nicole Lp Duenas, | |
133 Route 3, Dededo, GU 96929-6911 | |
(671) 645-5500 | |
Not Available |
Full Name | Nicole Lp Duenas |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 133 Route 3, Dededo, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407356272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLA43 (Guam) | Primary |
Provider Name | Guam Healthcare Development Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
Mailing Address | Practice Location Address |
---|---|
Nicole Lp Duenas, Po Box 9209, Dededo, GU 96912-0209 Ph: (671) 482-1390 | Nicole Lp Duenas, 133 Route 3, Dededo, GU 96929-6911 Ph: (671) 645-5500 |
Mrs. Christina Nicole Coles, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Camille Gonzales, M.A. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 344 E Suni Dr, Dededo, GU 96929 Phone: 671-787-0525 | |
Regina Day, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
Michelle Eley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 828-230-0556 |