Individual
TERESSA ANNE MANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
811 E STATE ST, SHARON, PA 16146-3340
(724) 342-4680
Mailing address
1325 ROEMER BLVD, FARRELL, PA 16121-1747
(724) 301-0318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN596585
PA
Other
Enumeration date
11/09/2021
Last updated
12/13/2021
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