KEISHA MARCELLE MANNAS

ALBUQUERQUE, NM
NPI1912270463
Former NameKEISHA MARCELLE WOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2012-0002)
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
-- KEISHA MARCELLE MANNAS PA-C
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2745
Phone number: 505-272-2111
Mailing Address
-- KEISHA MARCELLE MANNAS PA-C
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3200