Individual
JANICE E MANJUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3687 MT DIABLO BLVD, LAFAYETTE, CA 94549-3717
(925) 962-6602
(925) 299-6849
Mailing address
3687 MT DIABLO BLVD, LAFAYETTE, CA 94549-3717
(925) 962-6602
(925) 299-6849
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G72767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G727670
—
CA
Enumeration date
08/11/2006
Last updated
12/02/2011
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