Individual
BETH GLEASON MCMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1041 BROOKSIDE RD, STOCKTON, CA 95211-0001
(209) 946-2315
Mailing address
1041 BROOKSIDE RD, STOCKTON, CA 95211-0001
(209) 946-2315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15064
CA
367A00000X
Advanced Practice Midwife
NMW1655
CA
Other
Enumeration date
07/24/2006
Last updated
09/23/2009
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