Individual
GRACE MANIMTIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2433 W MUKILTEO BLVD, EVERETT, WA 98203-1421
(425) 446-1320
Mailing address
2433 W MUKILTEO BLVD, EVERETT, WA 98203-1421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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