Jessica L Manzanares

NPI #1275308371 in Lacey, Washington

Provider Information

NPI Number: 1275308371
Entity Type: Individual
Name: Jessica L Manzanares
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 17, 2023
Last Updated: Nov 17, 2023

Practice Location

Address: 612 WOODLAND SQUARE LOOP SE STE 401
City: Lacey
State: Washington
ZIP Code: 98503-1070
Phone: (360) 763-5828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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