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Organization
MANA PSYCHIATRY LLC
Active
Organization
MANA PSYCHIATRY LLC
Active
Other names
Mana Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REY JERICOH MANALESE DNP (PMHNP FNP)
(623) 313-6573
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE STE C61, GLENDALE, AZ 85308-6038
(623) 224-2403
(623) 267-0591
Mailing address
9627 W POTTER DR, PEORIA, AZ 85382-5157
(623) 313-6573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
03/11/2025
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