Manervia Lee

NPI 1437509312 · on the registry since 2016

Practice

Address: 1058 Ridgewood Pl Ste G
Jackson, MS 39211
Phone: (601) 809-9222
Organisation at this address: Gracey & Murphy Faithful Code
Visionz Body Transformation Clinic Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 164W00000X
164W00000X
Also registered as: 163WA2000X
163WC0400X
163WH0200X
171M00000X
172V00000X
174400000X
174H00000X
372600000X
373H00000X
374U00000X
376J00000X
376K00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi