Individual
MAUREEN MANNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
735 W ANIMAS ST, FARMINGTON, NM 87401-5616
(505) 609-6300
(505) 599-4636
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
33151
OK
208600000X
Surgery Physician
Primary
MD2022-1152
NM
Other
Enumeration date
05/19/2017
Last updated
11/12/2024
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