Individual
JENNINA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-1814
(626) 396-2900
(626) 799-2889
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018170
CA
Other
Enumeration date
12/29/2021
Last updated
12/14/2023
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