Individual
ERIN E MANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 LUNA AVE, LOS LUNAS, NM 87031
(505) 865-9363
Mailing address
375 GOLDEN POPPY ST, BOSQUE FARMS, NM 87068-9552
(505) 450-5048
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R59811
NM
Other
Enumeration date
08/31/2021
Last updated
09/01/2021
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