MR. Raymond Pampolina Manahan, IDC

NPI #1417142431 in Portland, Texas

Provider Information

NPI Number: 1417142431
Entity Type: Individual
Name: MR. Raymond Pampolina Manahan, IDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDC
Enumeration Date: Sep 12, 2007
Last Updated: Sep 12, 2007

Practice Location

Address: 905 LA MIRADA
City: Portland
State: Texas
ZIP Code: 78374-4130
Phone: (361) 776-4569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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