Individual
ANDREW WILLIAM MANNISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2680
Mailing address
5801 SE 24TH ST UNIT 74, DES MOINES, IA 50320-4704
(916) 337-3467
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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