Individual
JEFFREY MANALESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-7111
Mailing address
129 W 225TH ST, CARSON, CA 90745-3710
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
793370
CA
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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