PHYLLIS JOHNNA MANNA

BRANSON, MO
NPI1528294667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MO  2009013387)
Enumeration Date2009-06-03
Last Update Date2019-10-17
Business Address
PHYLLIS JOHNNA MANNA PA-C
101 SKAGGS RD SUITE 302
BRANSON, MO 65616-2075
Phone number: 417-334-8288
Mailing Address
PHYLLIS JOHNNA MANNA PA-C
101 SKAGGS RD SUITE 302
BRANSON, MO 65616-2075
Phone number: 417-334-8288
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