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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RAYMOND PAMPOLINA MANAHAN, IDC

Active Sole Proprietor

MR. RAYMOND PAMPOLINA MANAHAN, IDC is a Independent Duty Medical Technician healthcare provider located in PORTLAND, Texas. NPI 1417142431 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · PORTLAND, TX

Registration Details

NPI Number
1417142431
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2007 (18.89110623177 yrs)
Last Updated
Sep 12, 2007
Sole Proprietor
Yes

Practice Information

Address
905 LA MIRADA
PORTLAND, TX, 783744130
Browse TX providers · Browse ZIP 78374
Phone
3617764569
Primary Specialty
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.