Individual
DR. KIRSTEN GAYLE MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, DNP
Contact information
Practice address
DEL MAR BRAIN AND TMS, 12264 EL CAMINO REAL #303, SAN DIEGO, CA 92130
(858) 436-3076
Mailing address
7055 CHARMANT DR APT 97, SAN DIEGO, CA 92122
(909) 645-2500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019321
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2020
Last updated
01/27/2025
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