Mary Manilla
NPI #1649726829 in Byron Center, Michigan
Provider Information
- NPI Number
- 1649726829
- Entity Type
- Individual
- Name
- Mary Manilla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 29, 2016
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 7751 BYRON CENTER AVE SW
- Address 2
- SUITE C
- City
- Byron Center
- State
- Michigan
- ZIP Code
- 49315-8001
- Phone
- (616) 267-7668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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