Individual
INCA MARIE MANNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 E 118TH ST, CLEVELAND, OH 44106-1454
(216) 791-3235
Mailing address
928 ROANOKE RD, CLEVELAND HEIGHTS, OH 44121-2055
(216) 334-4261
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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