Individual
ROXANNE MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 CHARLES ST, GRANTS, NM 87020-2814
(505) 290-4077
Mailing address
810 CHARLES ST, GRANTS, NM 87020-2814
(505) 290-4077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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