Individual
MANISHA MANMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 LENNON LN, WALNUT CREEK, CA 94598-2419
(925) 817-5656
Mailing address
320 LENNON LN, WALNUT CREEK, CA 94598-2419
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
192547
CA
207N00000X
Dermatology Physician
311771
NY
Other
Enumeration date
04/22/2017
Last updated
08/01/2024
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