Individual
MRS. JENNIFER LYNN MANNING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.,C
Contact information
Practice address
50547 E SHAMROCK ST, CHESTERFIELD, MI 48047-1874
(586) 598-7260
Mailing address
50547 E SHAMROCK ST, CHESTERFIELD, MI 48047-1874
(586) 598-7260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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