Individual
MR. ENRIQUE MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2413 39TH PL NW, WASHINGTON, DC 20007-1702
(276) 790-2667
Mailing address
821 12TH ST NE, WASHINGTON, DC 20002-4462
(276) 790-2667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
08/23/2021
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