Individual
SHANA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-3812
Mailing address
2670 CRIMSON CANYON DR STE 110, LAS VEGAS, NV 89128-0848
(702) 869-4301
(702) 869-4301
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/18/2014
Last updated
01/24/2020
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