Individual
ARELIS MANJARREZ SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1595
(510) 481-4267
(510) 267-3212
Mailing address
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1595
(510) 481-4267
(510) 618-1973
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
673733
CA
363LF0000X
Family Nurse Practitioner
95026543
CA
Other
Enumeration date
06/29/2011
Last updated
10/09/2023
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