Individual
KAREN ELIZABETH MANISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
25MT00002800
NJ
Other
Enumeration date
06/26/2006
Last updated
01/24/2008
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