Stephanie Luretha Manriquez, LMT

NPI #1538230768 in Bend, Oregon

Provider Information

NPI Number: 1538230768
Entity Type: Individual
Name: Stephanie Luretha Manriquez, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Nov 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 644 NE GREENWOOD AVE
Address 2: #203
City: Bend
State: Oregon
ZIP Code: 97701-4569
Phone: (541) 317-9018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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