Individual
JENAH WESLEY MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 CANTERBURY RD, SMITHFIELD, NC 27577-4861
(919) 934-5149
(919) 934-5632
Mailing address
124 WOLFSNARE LN, MORRISVILLE, NC 27560-7061
(561) 376-5705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06834
NC
Other
Enumeration date
01/04/2017
Last updated
01/20/2026
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