IndividualActive
Justin Borja, IDHS
NPI 1730963224 · Independent Duty Corpsman · Santa Rita, GU
Provider details
- NPI number
- 1730963224
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDHS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Mailing address
316 Chandiha Street
Dededo, GU 96929
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2023-08-24
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.