Individual
MISS FASADINAH BAUTISTA MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2001 E MADISON ST, SEATTLE, WA 98122-2959
(206) 328-7722
(206) 328-7522
Mailing address
2001 E MADISON ST, SEATTLE, WA 98122-2959
(310) 200-5226
(206) 328-7522
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30007406
WA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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