| NPI | 1316589963 |
|---|---|
| Other Name | ZACHARY-ALLEN DANNUG MANLUCU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R210225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-2828) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-12-11 |