Individual
JUAN PABLO MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6836 ISAACS ORCHARD RD, SPRINGDALE, AR 72762
(479) 927-4100
(479) 927-4101
Mailing address
6836 ISAACS ORCHARD RD, SPRINGDALE, AR 72762
(479) 927-4100
(479) 927-4101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
07/06/2021
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