Individual
AMANDA MANELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
53 ELIZABETH ST, BASKING RIDGE, NJ 07920-2707
(908) 647-7179
Mailing address
53 ELIZABETH ST, BASKING RIDGE, NJ 07920-2707
(908) 647-7179
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06299200
NJ
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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