MR. Rodolfo Pineda Manansala, INDEPENDENT DUTY HM
NPI #1184809048 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1184809048
- Entity Type
- Individual
- Name
- MR. Rodolfo Pineda Manansala, INDEPENDENT DUTY HM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- INDEPENDENT DUTY HM
- Enumeration Date
- Jan 9, 2008
- Last Updated
- Aug 27, 2009
Practice Location
- Address
- 601 D ST BLDG 130-H
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-2822
- Phone
- (847) 688-3412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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