Individual
MR. GLENN PAUL MANSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8819 W VICTORIA AVE, KENNEWICK, WA 99336-7193
(509) 378-8675
Mailing address
8819 W VICTORIA AVE STE 110, KENNEWICK, WA 99336-7193
(509) 783-1851
(866) 425-2390
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN00138524
WA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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