Individual
MR. VICTOR VERON MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9414 ASHMONT ST, SHREVEPORT, LA 71129-4830
(318) 683-0119
Mailing address
9414 ASHMONT ST, SHREVEPORT, LA 71129-4830
(318) 683-0119
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN121799
LA
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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