Individual
ALETTA JOCELYN MANNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6620
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6620
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
201505569RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10031777
OR
Other
Enumeration date
06/22/2022
Last updated
10/11/2024
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