Individual
DYAN MANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
509 OLIVE WAY, SEATTLE, WA 98101-1720
(206) 708-1795
Mailing address
509 OLIVE WAY, SEATTLE, WA 98101-1720
(206) 708-1795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60364804
WA
Other
Enumeration date
07/14/2013
Last updated
07/14/2013
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