Individual
STEPHANIE AALIYAH MANUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W 36TH ST, CHANUTE, KS 66720-5244
(620) 432-2510
Mailing address
1008 S GARFIELD AVE, CHANUTE, KS 66720-2835
(520) 820-9599
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
10/16/2024
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