Individual
MR. DENISE MARIE MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3110 BROADLAWN DR, ERIE, PA 16506-1802
(814) 838-4095
Mailing address
3110 BROADLAWN DR, ERIE, PA 16506-1802
(814) 838-4095
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN264343L
PA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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