Individual
BLANCHE BELLE MANNERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
18945 FM 2252 STE 115, GARDEN RIDGE, TX 78266-2797
(210) 651-0029
Mailing address
13560 COUNTY ROUTE 68, RODMAN, NY 13682-2159
(315) 232-4059
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
12225011
NY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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