Individual
MIKAYLA MAE MANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
Mailing address
4910 ORVAS CT SE, OLYMPIA, WA 98501-4764
(423) 444-5999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
89259
TN
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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