Individual
MR. MANA DISSADEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 428-2600
(360) 814-8390
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
M-2041
GU
207RN0300X
Nephrology Physician
Primary
MD61395772
WA
Other
Enumeration date
07/13/2010
Last updated
08/03/2023
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