Individual
CARLA YAJE MANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/BSN
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
6735 SERVICEBERRY DR, FREDERICK, MD 21703-7996
(240) 328-0552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R242641
MD
163W00000X
Registered Nurse
RN1052839
DC
Other
Enumeration date
07/21/2021
Last updated
10/13/2021
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