Individual
JENNIFER KELLY MANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7115 N STATE ST, REDWOOD VALLEY, CA 95470-9624
(707) 671-2592
Mailing address
7115 N STATE ST, REDWOOD VALLEY, CA 95470-9624
(707) 671-2592
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 193439
CA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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