Individual
DAVID MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
398 NEPONSET AVE, BOSTON, MA 02122-3134
(617) 282-3200
Mailing address
398 NEPONSET AVE, BOSTON, MA 02122-3134
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2355493
MA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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