Individual
ANTHONY STEPHEN MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PARAMEDIC
Contact information
Practice address
27522 ANTONIO PKWY, LADERA RANCH, CA 92694-2165
(949) 207-3786
Mailing address
27522 ANTONIO PKWY STE P3, LADERA RANCH, CA 92694-2166
(949) 207-3786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57674
CA
Other
Enumeration date
10/09/2018
Last updated
01/12/2024
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