Individual
ELIZABETH MANOGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9850 GENESEE AVE, SUITE 335, LA JOLLA, CA 92037-1224
(858) 457-1111
Mailing address
8988 GAINSBOROUGH AVE, SAN DIEGO, CA 92129-3100
(858) 337-1663
(858) 538-1028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13629
CA
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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