Individual
JASWANT MANAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5710 WINTER RIDGE DR, BAKERSFIELD, CA 93313-2701
(661) 472-6706
Mailing address
5710 WINTER RIDGE DR, BAKERSFIELD, CA 93313-2701
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B7090339
CA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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