Organization
MANALOTO AND RACSA MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERTRUDES B MANALOTO-RACSA MD (DOCTOR)
(509) 547-0503
Entity
Organization
Contact information
Practice address
527 W PARK ST, SUITE 3, PASCO, WA 99301-5265
(509) 547-0503
(509) 547-5815
Mailing address
527 W PARK ST, SUITE 3, PASCO, WA 99301-5265
(509) 547-0503
(509) 547-5815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016945
WA
207RC0000X
Cardiovascular Disease Physician
MD00014929
WA
Other
Enumeration date
05/17/2007
Last updated
08/31/2010
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