Individual
ALBERT MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2635 CUNNINGHAM AVE, D, SAN JOSE, CA 95148-1007
(408) 518-1848
Mailing address
2635 CUNNINGHAM AVE STE D, SAN JOSE, CA 95148-1007
(408) 518-1848
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B8525078
CA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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