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Individual

JENEL MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1708 FALL HILL AVE, FREDERICKSBURG, VA 22401-3511
(562) 405-9844
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5600

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0110010309
VA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
0110010309
VA
363A00000X
Physician Assistant
Primary
0110010309
VA

Other

Enumeration date
12/25/2023
Last updated
02/12/2025
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