Individual
DEBORAH ANN MANOOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W MAIN ST, EVERSON, WA 98247-8217
(360) 788-4228
Mailing address
5636 ORCHARD DR, FERNDALE, WA 98248-9133
(801) 318-3176
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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