Individual
JEANETTE MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 YELLOW HAMMER RD, TYNER, NC 27980-9662
(252) 221-8922
Mailing address
214 YELLOW HAMMER RD, TYNER, NC 27980-9662
(252) 221-8922
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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