Individual
MISS ALYSSA DARLENE MANINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FRANCES MEEKS WAY, RICHMOND HILL, GA 31324-3983
(912) 445-2098
Mailing address
600 TAYLOR RD APT 91, HINESVILLE, GA 31313-2157
(352) 701-8162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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