Individual
STACEY MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEP
Contact information
Practice address
15273 PRUIN ST, SPRING LAKE, MI 49456-2222
(616) 402-3299
Mailing address
15273 PRUIN ST, SPRING LAKE, MI 49456-2222
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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