Individual
ANGELA MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1145 CHANNINGWAY DR, FAIRBORN, OH 45324-9244
(937) 878-1071
Mailing address
1145 CHANNINGWAY DR, FAIRBORN, OH 45324-9244
(937) 878-1071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-05149
OH
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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