Individual
CHRISELDA MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 W SUNSET BLVD, 6TH FLOOR - INTENSIVE CARE UNIT, LOS ANGELES, CA 90027-5969
(323) 783-9644
(323) 783-0170
Mailing address
4867 W SUNSET BLVD, 6TH FLOOR - INTENSIVE CARE UNIT, LOS ANGELES, CA 90027-5969
(323) 783-9644
(323) 783-0170
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95004035
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95004035
CA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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