Individual
ALICIA LAZAM MANALOMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT RCP
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
24758 BROADMORE AVE, HAYWARD, CA 94544-1720
(510) 329-4818
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
14133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14133
RCP
CA
Enumeration date
12/16/2018
Last updated
12/16/2018
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