Individual
IRISAN MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1328 E JARDIN DR, CASA GRANDE, AZ 85122-6768
(520) 509-8814
Mailing address
1328 E JARDIN DR, CASA GRANDE, AZ 85122-6768
(520) 509-8814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN182022
AZ
Other
Enumeration date
01/30/2015
Last updated
05/27/2015
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