Individual
BERNADETTE MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7922 GLENCOE DR APT 3, HUNTINGTON BEACH, CA 92647-4111
(714) 624-9725
Mailing address
7922 GLENCOE DR APT 3, HUNTINGTON BEACH, CA 92647-4111
(714) 624-9725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23051
CA
Other
Enumeration date
05/31/2013
Last updated
08/18/2017
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