Individual
NORWENA GAMBOA MANLUCTAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 FOLSOM ST, SAN FRANCISCO, CA 94107-1243
(855) 832-6727
Mailing address
1006 FREEDOM DR, SUISUN CITY, CA 94585-2645
(707) 718-4756
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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