Individual
MRS. HEIDI MANFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 10TH AVE, ALTOONA, PA 16601-4736
(814) 946-9142
Mailing address
701 10TH AVE, ALTOONA, PA 16601-4736
(814) 946-9142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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