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Individual

MS. DAWN SHANTA MANUEL

Active
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Individual

MS. DAWN SHANTA MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN195548
CA
171M00000X
Case Manager/Care Coordinator
174H00000X
Health Educator
251E00000X
Home Health Agency

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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