Individual
MS. MANDY INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 FERGUSON ST. SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
PO BOX 14339, TUMWATER, WA 98511-4339
(360) 943-1907
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60749299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC60749299
—
WA
Enumeration date
07/25/2019
Last updated
07/25/2019
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