Individual
PORSCHE MANEICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
242 ST HELENS AVE, TACOMA, WA 98402-2514
(253) 627-3833
Mailing address
2355 S STATE ST UNIT 103, TACOMA, WA 98405-2824
(205) 260-8878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61458218
WA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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