CARLOS MATUTE MANDUJANO

PASCO, WA
NPI1477030880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD61245855)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ND  RL15209)
Enumeration Date2018-07-27
Last Update Date2022-10-19
Business Address
CARLOS MATUTE MANDUJANO MD
507 N 5TH AVE
PASCO, WA 99301-5201
Phone number: 509-416-8880
Mailing Address
CARLOS MATUTE MANDUJANO MD
520 N 4TH AVE
PASCO, WA 99301-5257
Phone number: