Individual
LAURA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 PARK AVE, ELYRIA, OH 44035-6610
(440) 309-8838
Mailing address
816 PARK AVE, ELYRIA, OH 44035-6610
(440) 381-9862
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419780
—
OH
Enumeration date
01/08/2024
Last updated
01/08/2024
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