Individual
DR. GERARDO BALUYUT MANANSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 MARSALA PL, AMERICAN CANYON, CA 94503-3137
(707) 980-6738
(707) 649-2739
Mailing address
30 MARSALA PL, AMERICAN CANYON, CA 94503-3137
(707) 980-6738
(707) 649-2739
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A102439
CA
Other
Enumeration date
05/30/2008
Last updated
12/05/2012
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