Individual
JEANNIE LYNN MANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
3287 ABEL AVE, PACE, FL 32571-9517
(713) 401-8282
Mailing address
3287 ABEL AVE, PACE, FL 32571-9517
(713) 401-8282
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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