Individual
MARK ANTONY MANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.C.M.A.
Contact information
Practice address
1104 EAST 5TH AVENUE, ANCHORAGE, AK 99501-2759
(907) 602-1014
Mailing address
834 N LANE ST, APARTMENT 8, ANCHORAGE, AK 99508-1718
(907) 602-1014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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