person
Mr. Manuel Miranda Lata JR., RN
Psychiatric/Mental Health Registered Nurse in Auburn, Washington
NPI 1386135895

Manuel Miranda Lata JR. is a Psychiatric/Mental Health Registered Nurse based in Tukwila, WA and is specialized in Psychiatric/Mental Health. Manuel Miranda Lata JR. practices in Auburn, WA and has the professional credentials of RN. The NPI Number for Manuel Miranda Lata JR. is 1386135895 and holds a License No. RN60680518 (Washington).

The current practice location address for Manuel Miranda Lata JR. is 505 29Th St Se, Auburn, WA and can be reached out via phone at 253-876-7650 and via fax at 206-302-2210. You can also correspond with Manuel Miranda Lata JR. through the mailing address at 6400 SOUTHCENTER BLVD, TUKWILA, WA - 98188-2547 (mailing address contact number: 206-901-2000).

Location: 505 29Th St Se, Auburn, WA, 98188-2547
person
Provider Profile Details
NPI Number
1386135895
Provider Name
Manuel Miranda Lata JR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
505 29Th St Se, Auburn, WA, 98188-2547
Phone Number
253-876-7650
Fax Number
206-302-2210
Provider Enumeration Date
05/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
505 29Th St Se
City
State
Zip
98002-7541
Phone Number
253-876-7650
Fax Number
206-302-2210
person
Provider Business Mailing Address Details
Address
505 29Th St Se
City
State
Zip
98002-7541
Phone Number
253-876-7650
Fax Number
206-302-2210
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN60680518 (Washington)
Definition
Definition to come...
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