Individual
MRS. MARY-JEANNE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8077
Mailing address
93 BARROWS ST, DEDHAM, MA 02026-3050
(617) 312-9419
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
171899
MA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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