Individual
LUMINITA M MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E VALENCIA MESA DR, 105, FULLERTON, CA 92835-3813
(714) 446-5776
Mailing address
100 E VALENCIA MESA DR, 105, FULLERTON, CA 92835-3813
(714) 446-5776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
595716
CA
Other
Enumeration date
04/11/2011
Last updated
01/24/2017
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