Individual
JENNIFER MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
872 W ORANGE AVE, TALLAHASSEE, FL 32310-6123
(850) 300-7262
Mailing address
438 W BREVARD ST, TALLAHASSEE, FL 32301-1004
(850) 577-0045
(850) 487-9915
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DH21242
FL
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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