Individual
DEAN MANNINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3200 WOODLAND RIDGE BLVD, BATON ROUGE, LA 70816-2743
(225) 753-3180
Mailing address
3200 WOODLAND RIDGE BLVD, BATON ROUGE, LA 70816-2743
(225) 753-3180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00370
LA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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