Individual
REBYL KAYE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 FRUITDALE DR, GRANTS PASS, OR 97527-5267
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-2901
OR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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