Individual
MARISOL MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 743-6042
(850) 875-7216
Mailing address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 743-6042
(850) 875-7216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9591849
FL
163WC1500X
Community Health Registered Nurse
Primary
RN9591849
FL
Other
Enumeration date
03/18/2022
Last updated
05/06/2022
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