Individual
CATHERINE MANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 64 OLD HIGH SCHOOL ROAD, 1199, SHIPROCK, NM 87420-1199
(505) 368-5163
(505) 368-5502
Mailing address
PO BOX 1199, SHIPROCK, NM 87420-1199
(505) 368-5163
(505) 368-5502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
370295
NM
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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