Individual
MRS. JAIME LYN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, CES
Contact information
Practice address
902 GRANT AVE, PRAIRIE GROVE, AR 72753-8417
(479) 283-9477
Mailing address
902 GRANT AVE, PRAIRIE GROVE, AR 72753-8417
(479) 283-9477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 466
AR
Other
Enumeration date
12/22/2008
Last updated
12/25/2011
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