NPI 1417142431

Raymond Pampolina Manahan, IDC

Practitioner Independent Duty Medical Technicians Portland, TX

Practice location

Address: 905 La Mirada, Portland, TX 78374-4130
Phone: (361) 776-4569

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1417142431
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2007
Record last updated: 12 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.