Individual
MRS. JENNA MARIE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2480 SOUTH DOWNING ST, SUITE 100, DENVER, CO 80210
(303) 777-5455
(303) 777-1175
Mailing address
2480 SOUTH DOWNING ST, SUITE 100, DENVER, CO 80210
(303) 777-5455
(303) 777-1175
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2079
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13235346
—
CO
Enumeration date
08/21/2006
Last updated
07/08/2007
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