Individual
JOANN L MANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2686
Mailing address
7255 COUNTY ROAD PI, ISHPEMING, MI 49849-8841
(906) 486-6216
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704117730
MI
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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