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MISS MA IVY CLEMENTE

>> Specialist/Technologist, Pathology >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1487088217

Individual Registrant:
MISS MA IVY  CLEMENTE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-2893

Contact information for business:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-2893

Registration Information:
NPI: 1487088217
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246Q00000XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Pathology
AS2061-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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