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Individual

CONSTANCE M MANNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
15200 S. US 59 HWY, SUITE 360, SUGARLAND, TX 77478-4032
(832) 237-3500
(832) 237-0200
Mailing address
11321 FALLBROOK DR, HOUSTON, TX 77065-4232
(832) 237-3500
(832) 237-0200

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
569311
TX
163W00000X
Registered Nurse
Primary
569311
TX

Other

Enumeration date
02/28/2008
Last updated
12/04/2013
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