Individual
EVE VICTORIA MANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30510 GRUENBURG DR, WARREN, MI 48092-1939
(586) 355-5186
Mailing address
30510 GRUENBURG DR, WARREN, MI 48092-1939
(586) 355-5186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703054667
MI
Other
Enumeration date
10/09/2014
Last updated
04/04/2019
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