Individual
MS. JACQUELINE M MANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N BEND DR, FAIRVIEW HEIGHTS, IL 62208-2130
(618) 292-1126
(618) 589-9001
Mailing address
101 NORTH BEND DR, FAIRVIEW HEIGHTS, IL 62208-2130
(618) 292-1126
(618) 589-9001
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
02/24/2013
Last updated
02/24/2013
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