Individual
SAMANTHA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 ALPINE BLVD SPC 22, ALPINE, CA 91901-2305
(805) 758-3736
Mailing address
3505 ALPINE BLVD SPC 22, ALPINE, CA 91901-2305
(805) 758-3736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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