Individual
JENNIFER L MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6633 80TH AVE N, PINELLAS PARK, FL 33781-2061
(813) 545-2367
Mailing address
6633 80TH AVE N, PINELLAS PARK, FL 33781-2061
(813) 545-2367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4285
FL
Other
Enumeration date
12/28/2005
Last updated
05/14/2012
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