Individual
LAURA A MACMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3082
(951) 845-6993
Mailing address
33675 NORTHVIEW DR, YUCAIPA, CA 92399-2122
(909) 795-4735
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11398
CA
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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