Individual
HEATHER MANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
5670 SILVER FOX DR, CARTERVILLE, IL 62918-3554
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
76249
NE
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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