Individual
DR. DANILO RAYMUNDO MANIMTIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6101 N FRESNO ST, 101, FRESNO, CA 93710-8606
(559) 435-4168
(559) 435-6733
Mailing address
6101 N FRESNO ST, 101, FRESNO, CA 93710-8606
(559) 435-4168
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A36441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A364410
—
CA
Enumeration date
08/30/2006
Last updated
07/09/2007
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