Individual
JAN MASON-MANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1121 WASHINGTON AVE, NEWCASTLE, WY 82701
(307) 746-3582
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
201
WY
Other
Enumeration date
11/06/2006
Last updated
12/17/2013
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