Individual
JOLEYSA ANNE SILVA MANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7910 FROST ST STE 280, SAN DIEGO, CA 92123-2752
(858) 246-0794
Mailing address
7910 FROST ST STE 280, SAN DIEGO, CA 92123-2752
(858) 246-0794
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
20A21285
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/10/2020
Last updated
06/21/2023
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