Provider Demographics
NPI:1801462890
Name:CANOVAS & SONS
Entity type:Organization
Organization Name:CANOVAS & SONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:CANOVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-687-8771
Mailing Address - Street 1:1640 ARMY DR
Mailing Address - Street 2:
Mailing Address - City:DEDEDO
Mailing Address - State:GU
Mailing Address - Zip Code:96929-6533
Mailing Address - Country:US
Mailing Address - Phone:671-633-6332
Mailing Address - Fax:671-633-6333
Practice Address - Street 1:744 N MARINE CORPS DR # C-109
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-4426
Practice Address - Country:US
Practice Address - Phone:671-633-6332
Practice Address - Fax:671-633-6333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies