Organization
MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA SPOON DNP, ARNP (OWNER)
(360) 621-2696
Entity
Organization
Contact information
Practice address
1100 WHEATON WAY, SUITE F AND G, BREMERTON, WA 98310-4459
(360) 621-2696
(844) 602-4646
Mailing address
PO BOX 1266, BREMERTON, WA 98337-0507
(360) 621-2696
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP30007455
WA
Other
Enumeration date
08/11/2015
Last updated
06/16/2021
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