Individual
NICHOLAS MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61325016
WA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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