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Ashley Mannisto

NPI 1437780087 · on the registry since 2020 · sole proprietor

Practice

Address
2445 Miami Ave Sw
Wyoming, MI 49519
Phone
(616) 368-2505

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-03

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 Michigan