Individual
JOANNA MANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(217) 778-3527
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86069877
IL
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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