Sarah R Mannix
Sarah R Mannix is a Student in an Organized Health Care Education/Training Program in O Fallon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1509 Cedar Ridge DrO Fallon, IL 62269-4233
Phone: (815) 245-4778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085008833 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1750979464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2021 |
| Last updated in NPPES | February 26, 2022 |
| Certification date | February 26, 2022 |
| Mailing address | 1509 Cedar Ridge Dr, O Fallon, IL 62269-4233 |
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