Individual
RYAN MANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
3965 HENDERSON BLVD, TAMPA, FL 33629-5023
(860) 933-2155
Mailing address
1016 E COLUMBUS DR, TAMPA, FL 33605-3333
(860) 933-2155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3763
FL
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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