Individual
ALISE MANATINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3492 OAKMONTE BLVD, ROCHESTER, MI 48306-4789
(586) 907-9516
Mailing address
3492 OAKMONTE BLVD, ROCHESTER, MI 48306-4789
(586) 907-9516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022724
MI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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