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Individual
MR. MARK JAYSON MANUEL
Active
Individual
MR. MARK JAYSON MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95211746
CA
363LF0000X
Family Nurse Practitioner
Primary
95034369
CA
Other
Enumeration date
03/13/2025
Last updated
12/09/2025
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