Individual
DOROTHY MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 TEAROSE LN, LAKE JACKSON, TX 77566-6042
(979) 417-8740
Mailing address
206 TEAROSE LN, LAKE JACKSON, TX 77566-6042
(979) 417-8740
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
10/06/2014
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