MISS Audrey Manis, MT-BC

NPI #1972959187 in Clarksville, Indiana

Provider Information

NPI Number: 1972959187
Entity Type: Individual
Name: MISS Audrey Manis, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MT-BC
Enumeration Date: May 5, 2016
Last Updated: May 5, 2016

Practice Location

Address: 1205 APPLEGATE LN
City: Clarksville
State: Indiana
ZIP Code: 47129-9608
Phone: (812) 283-8383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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