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Contact Information

JENEL MANUEL
1708 FALL HILL AVE
FREDERICKSBURG, VA22401-3511
 Phone: 562-405-9844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JENEL MANUEL · (Female)

NPI Number 1518736180
Status Active
Credentials
Entity Individual
Enumeration date 12/25/2023
Last updated 02/12/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0110010309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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