Individual
TRA'JYSEIA MANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2787 IVY POST DR, JACKSONVILLE, FL 32226-1290
(704) 449-0667
Mailing address
2787 IVY POST DR, JACKSONVILLE, FL 32226-1290
(704) 449-0667
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1177175
NC
Other
Enumeration date
08/23/2024
Last updated
09/03/2024
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