Individual
BARBARA MANNISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 MAIN RD, BROWNVILLE, ME 04414-3107
(207) 965-8700
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 965-8700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R041030
ME
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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