Individual
MRS. ADELENA V MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A. CCC-SLP
Contact information
Practice address
57 SALINA ST, HAMPTON, VA 23669-2551
(757) 727-1613
Mailing address
36 W GOVERNOR DR, NEWPORT NEWS, VA 23602-7431
(757) 812-5678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006973
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202006973
—
VA
Enumeration date
01/22/2018
Last updated
03/17/2018
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