Individual
MR. JONATHAN SCOTT MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
10/13/2021
Last updated
10/15/2021
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