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Individual
MS. SHYVONIA NICOLE MANUEL
Active
Individual
MS. SHYVONIA NICOLE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640897031
—
LA
Enumeration date
05/09/2019
Last updated
09/22/2020
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