Individual
JOSEPH MANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 LIBERTY AVE APT 2209, SUITE 200 CWING, PITTSBURGH, PA 15222-3537
(724) 456-6209
Mailing address
3317 PARK RD APT O, SUITE 200 CWING, CHARLOTTE, NC 28209-2088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119938
PA
Other
Enumeration date
10/30/2017
Last updated
06/15/2021
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