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Individual

MS. KIMBERLY RENEE MANINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
54033 HIGHWAY 1062, SUITE B, LORANGER, LA 70446-3538
(985) 606-2273
(985) 606-2268
Mailing address
54033 HIGHWAY 1062, SUITE B, LORANGER, LA 70446-3538
(985) 606-2273
(985) 606-2268

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06729
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2194089
LA
Enumeration date
01/30/2012
Last updated
10/25/2016
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