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Individual

MRS. JESSINA MARIE MANIO (STEDMAN IS MAIDEN)

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1530 CONCORDIA, IRVINE, CA 92612-3203
(949) 214-3246
(949) 214-3246
Mailing address
1530 CONCORDIA, IRVINE, CA 92612-3203
(949) 214-3246
(949) 214-3246

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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