Individual
CHRISTINA LUELLA MANILDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1667 DOMINICAN WAY, SUITE 134, SANTA CRUZ, CA 95065-1518
(831) 475-8834
(831) 475-1014
Mailing address
3160 FOLSOM BLVD, SACRAMENTO, CA 95816-5219
(916) 733-5701
(916) 859-1671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17668
CA
363AM0700X
Medical Physician Assistant
PA17668
CA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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