Individual
JENNIFER MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18351 W VERDIN RD, GOODYEAR, AZ 85338-5078
(623) 451-2580
Mailing address
18351 W VERDIN RD, GOODYEAR, AZ 85338-5078
(623) 451-2580
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
85007766
AZ
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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