Individual
DANIELLE ROSE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN95646
LPN LICENSURE
MA
Enumeration date
10/22/2017
Last updated
10/22/2017
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