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Individual
MS. SUSAN T. MANABO
Active
Individual
MS. SUSAN T. MANABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
285624-11204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285624
CA RN LICENSE
CA
Enumeration date
07/13/2006
Last updated
03/17/2021
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