Individual
MARIE JANETTE MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0082772
CO
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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