Individual
ELIZABETH KARENINA MANULLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(877) 873-2762
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(877) 873-2762
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
756129
CA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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