Individual provider · NPI-1
Vance J Manakas, MS ATC
Specialist/Technologist, Athletic Trainer · Moorpark, CA
NPI number1306989116
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1306989116
- Entity type
- Individual (NPI-1)
- Name
- Mr. Vance J Manakas
- Credential
- MS ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
12228 Arbor Hill StMoorpark, CA 93021-3175
Phone 805-378-1480
Mailing address
12228 Arbor Hill StMoorpark, CA 93021-3175
Phone 805-378-1480
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