Organization
PROACTIVE FUNCTIONAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MANIAGO NP (NURSE PRACTITIONER/OWNER)
(206) 326-8122
Entity
Organization
Contact information
Practice address
2335 S I ST, TACOMA, WA 98405-3816
(206) 326-8122
Mailing address
2335 S I ST, TACOMA, WA 98405-3816
(206) 326-8122
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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