Individual
GAYLA MANARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 JOHNSTOWN DR, ROGERSVILLE, MO 65742-9366
(417) 840-7776
Mailing address
123 JOHNSTOWN DR, ROGERSVILLE, MO 65742-9366
(417) 840-7776
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
143357
MO
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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