Individual
MR. VANCE J MANAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
12228 ARBOR HILL ST, MOORPARK, CA 93021-3175
(805) 378-1480
Mailing address
12228 ARBOR HILL ST, MOORPARK, CA 93021-3175
(805) 378-1480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/09/2007
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