Individual
FERNANDA MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2445 TRUXTUN RD STE 205, SAN DIEGO, CA 92106-6154
(619) 633-2119
Mailing address
2751 ROOSEVELT RD # 205, SAN DIEGO, CA 92106-6180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27709
CA
Other
Enumeration date
06/09/2020
Last updated
10/04/2022
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