Individual
DR. GERTRUDES B MANALOTO-RACSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
527 W PARK ST, SUITE 3, PASCO, WA 99301-5265
(509) 547-0503
(509) 547-5815
Mailing address
527 W PARK ST, SUITE 3, PASCO, WA 99301-5265
(509) 547-0503
(509) 547-5815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016945
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006659
—
WA
01
—
17669
L&I NUMBER
WA
Enumeration date
02/02/2006
Last updated
03/13/2008
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