Individual
JOHN RIEL MANALANSAN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSAT,LAT, ATC
Contact information
Practice address
2411 DUNN AVE, RALEIGH, NC 27606
(919) 515-2189
Mailing address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2856
NC
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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