Individual
JONATHON MANNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 W FOREST AVE, DECATUR, IL 62522-2730
(217) 809-1699
Mailing address
1524 W FOREST AVE, DECATUR, IL 62522-2730
(217) 809-1699
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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