Individual
MANOLO FLORES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17404 AMBAUM BLVD S APT 102, BURIEN, WA 98148-2738
(206) 354-0912
Mailing address
17837 1ST AVE S # 266, NORMANDY PARK, WA 98148-1728
(206) 354-0912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60346573
WA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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