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Individual
MRS. TAJA ANASTASIA MANUSELIS
Active
Individual
MRS. TAJA ANASTASIA MANUSELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A74374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A743740
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
04/16/2007
Last updated
12/17/2021
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