Organization
MANZANA FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI CARLO BICIERRO MANZANA MD (CEO)
(661) 714-1560
Entity
Organization
Contact information
Practice address
2410 COMMERCE TRL, IMPERIAL, CA 92251-4003
(760) 332-8688
Mailing address
PO BOX 66, IMPERIAL, CA 92251-0066
(661) 714-1560
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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