Individual
MRS. AMANDA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE STE 410, GLENDALE, AZ 85308-8732
(623) 800-7980
Mailing address
1118 N VILLA NUEVA DR, LITCHFIELD PARK, AZ 85340-4527
(602) 677-3813
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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