Individual
BRITTNIE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 NE 306TH CIR, LA CENTER, WA 98629-2212
(360) 747-3265
Mailing address
2702 TAYLOR AVE, LONGVIEW, WA 98632-4432
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
000
WA
Enumeration date
04/07/2022
Last updated
04/07/2022
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