Individual
JOHNAL MIGUEL MANASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(800) 607-6377
Mailing address
1689 ROSEWOOD LN, HANFORD, CA 93230-2561
(559) 410-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95039843
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002272
CA
Other
Enumeration date
09/02/2021
Last updated
01/26/2024
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