Individual
JENNIFER MANIGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN100702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN100702
NURSING
MA
Enumeration date
10/19/2022
Last updated
10/19/2022
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