Individual
MANJULA MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 TERRACE VIEW AVE, ANTIOCH, CA 94531-6645
(925) 754-9206
Mailing address
2828 TERRACE VIEW AVE, ANTIOCH, CA 94531-6645
(925) 754-9206
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
079200834
CA
Other
Enumeration date
05/24/2014
Last updated
05/16/2022
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