Individual
NICOLE IONA MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
2802 W BAY AREA BLVD APT 1601, WEBSTER, TX 77598-3121
(409) 284-3419
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
220960
AK
164X00000X
Licensed Vocational Nurse
Primary
321835
TX
Other
Enumeration date
02/19/2018
Last updated
05/31/2024
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