Individual
STEPHANIE LURETHA MANRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
644 NE GREENWOOD AVE, #203, BEND, OR 97701-4569
(541) 317-9018
(541) 317-9018
Mailing address
644 NE GREENWOOD AVE, #203, BEND, OR 97701-4569
(541) 317-9018
(541) 317-9018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7276
OR
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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