Individual
ANNALISHA MANRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 IOWA AVE, RIVERBANK, CA 95367-2908
(209) 303-6837
Mailing address
3725 IOWA AVE, RIVERBANK, CA 95367
(209) 303-6837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00844932
CA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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