Individual
DEBRA MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
115 W COURT ST, GOLDENDALE, WA 98620-8905
(509) 773-4565
Mailing address
115 W COURT ST # 103, GOLDENDALE, WA 98620-8905
(509) 773-4565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60143105
WA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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