Individual
MRS. ANDREA MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
320 TOWN CENTER PKWY UNIT 1109, SANTEE, CA 92071-5851
(760) 556-8015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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