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Individual

MS. GRETA G. MANILA

Active
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Individual

MS. GRETA G. MANILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 12679
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902846306
GROUP NPI
CA
01
800275979
MEDI-CAL
CA
01
GR0100430
GROUP MEDI-CAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
09/16/2006
Last updated
05/05/2026
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