Individual
ANTHONY MENACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
215 W BEAMER ST, WOODLAND, CA 95695-2510
(307) 582-0605
Mailing address
2472 LARKSPUR LN APT 363, SACRAMENTO, CA 95825-4153
(909) 730-5241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57047
CA
Other
Enumeration date
08/16/2019
Last updated
08/02/2022
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