Individual
GERIANNE MARIE MANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.A.P.
Contact information
Practice address
350 SHAWN ELISE WAY, ENCINITAS, CA 92024-2942
(760) 212-2863
Mailing address
270 N EL CAMINO REAL # F-323, ENCINITAS, CA 92024-2874
(760) 212-2863
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP 365
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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