MARY MANILLA

BYRON CENTER, MI
NPI1649726829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704285854)
Enumeration Date2016-08-29
Last Update Date2021-02-25
Business Address
MARY MANILLA
7751 BYRON CENTER AVE SW SUITE C
BYRON CENTER, MI 49315-8001
Phone number: 616-267-7668
Mailing Address
MARY MANILLA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: