Individual
MRS. AMANDA MANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-5238
(734) 240-2573
Mailing address
375 RIVER ST, MANISTEE, MI 49660-2729
(231) 398-1957
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
195903-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704263072
MI
Other
Enumeration date
07/04/2013
Last updated
11/03/2023
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