Individual
FERNANDO MANRIQUEZ MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5241 NMAPLE AVE, FRESNO, CA 93740
(559) 278-4240
Mailing address
2185 MORNING GLORY ST, SIMI VALLEY, CA 93065-3546
(805) 300-0867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050274
NATA
CA
Enumeration date
09/01/2020
Last updated
09/01/2020
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