Individual
EUGENIA J MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(505) 556-7600
Mailing address
9301 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2728
(877) 393-1149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2003-0051
NM
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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