Most Relevant Information
Provider Data
| NPI Number: | 1003196304 |
| Provider Name: | DINEO MANAMOLELA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 644632 |
Most Important Dates
| Enumeration Date: | 08/18/2011 |
| Last Updated: | 08/18/2011 |
Provider Practice Location
301 E 23RD ST
APT#34
BROOKLYN
NY
112267058
Practice Location Phone/Fax
| Phone: | 7186712100 |
| Fax: |
Provider Mailing Location
301 E 23RD ST
APT#34
BROOKLYN
NY
112267058
Provider Mailing Phone/Fax
| Phone: | 7186712100 |
| Fax: |