Individual
ANGELA ELAINE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
5113 BANYAN RD, FAYETTEVILLE, NC 28304-3109
(910) 978-8122
Mailing address
5113 BANYAN RD, FAYETTEVILLE, NC 28304-3109
(910) 978-8122
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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