Individual
ALBA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
662 ATHERTON WAY, PLUMAS LAKE, CA 95961-8914
(530) 813-0273
Mailing address
1920 STATE HIGHWAY 65 STE 290, WHEATLAND, CA 95692-9006
(916) 729-3098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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