NPI 1154885218

Jennifer Manuel, RDH

Practitioner Denturist Tallahassee, FL

Practice location

Address: 872 W Orange Ave, Tallahassee, FL 32310-6123
Phone: (850) 300-7262
Mailing address: 438 W Brevard St, Tallahassee, FL 32301-1004

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DH21242 (FL)

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Registry record

NPI: 1154885218
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2019
Record last updated: 23 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.