Individual
MRS. NANCY LOUISE MANIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, LCCE, IBCLC
Contact information
Practice address
4 BIRCHMONT, ALISO VIEJO, CA 92656-1400
(949) 533-2183
Mailing address
4 BIRCHMONT, ALISO VIEJO, CA 92656-1400
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
102-18421
CA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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