Individual
JANET HIPOLITO-MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 LEANING OAK DR, FAIRFIELD, CA 94534-6776
(415) 756-5977
Mailing address
1918 LEANING OAK DR, FAIRFIELD, CA 94534-6776
(415) 756-5977
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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