Individual
KATHLEEN MAE MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10101 N 92ND ST STE 201, SCOTTSDALE, AZ 85258-4553
(877) 205-5541
(818) 538-3380
Mailing address
1111 W PARKLANE BLVD UNIT 11, CHANDLER, AZ 85224-0902
(360) 553-6666
(818) 538-3380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP0049800
AZ
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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