Individual
CZARINA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 WARGO CT, WEST HAVERSTRAW, NY 10993-1248
(845) 406-3314
Mailing address
27 WARGO CT, WEST HAVERSTRAW, NY 10993-1248
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327677
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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