Provider Demographics
NPI:1396429650
Name:GARCES, ANNA LOU CARANAY (GENRAL MANAGER)
Entity type:Individual
Prefix:
First Name:ANNA LOU
Middle Name:CARANAY
Last Name:GARCES
Suffix:
Gender:F
Credentials:GENRAL MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 CHALAN SAN ANTONIO STE 102
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3601
Mailing Address - Country:US
Mailing Address - Phone:671-637-5433
Mailing Address - Fax:671-633-5433
Practice Address - Street 1:428 CHALAN SAN ANTONIO STE 102
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3601
Practice Address - Country:US
Practice Address - Phone:671-637-5433
Practice Address - Fax:671-633-5433
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GU660798903282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital