Traveling Pain Management Doctors Psc
NPI #1356682470 in Maple Valley, Washington
Provider Information
- NPI Number
- 1356682470
- Entity Type
- Organization
- Organization Name
- Traveling Pain Management Doctors Psc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 14, 2013
- Last Updated
- Feb 21, 2014
Practice Location
- Address
- 21234 SE 273RD PL
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-3350
- Phone
- (509) 389-6945
Authorized Official
- Name
- TRACI M MANCUSO, ARNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (509) 389-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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