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Individual

ERIC MANBOSSIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(323) 369-9499
Mailing address
651 I ST, SACRAMENTO, CA 95814-2400

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
837552
CA
363L00000X
Nurse Practitioner
Primary
NPF95015453
CA

Other

Enumeration date
02/17/2016
Last updated
07/10/2021
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