Most Relevant Information
Provider Data
| NPI Number: | 1003175787 |
| Provider Name: | MARK ANTONY MANNI N.C.M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2012 |
| Last Updated: | 05/15/2012 |
Provider Practice Location
1104 EAST 5TH AVENUE
ANCHORAGE
AK
995012759
Practice Location Phone/Fax
| Phone: | 9076021014 |
| Fax: |
Provider Mailing Location
834 N LANE ST
APARTMENT 8
ANCHORAGE
AK
995081718
Provider Mailing Phone/Fax
| Phone: | 9076021014 |
| Fax: |