Individual
KERI MANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4169
(978) 369-3160
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4169
(978) 369-3160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6991
MA
Other
Enumeration date
04/05/2018
Last updated
07/27/2022
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