Individual
MRS. PATRICIA SUSAN MANSHIP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
20027 ENCINO RIDGE ST, SAN ANTONIO, TX 78259-1909
(210) 497-3083
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02856
TX
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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