Individual
DASANI MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3210 LONG BEACH BLVD, LONG BEACH, CA 90807-5062
(562) 548-6565
Mailing address
3210 LONG BEACH BLVD, LONG BEACH, CA 90807-5062
(562) 548-6565
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN735705
CA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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