Individual
MR. AMEEN MANASRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4910 E CLINTON WAY, 101, FRESNO, CA 93727-1560
(559) 443-2682
(559) 443-2681
Mailing address
PO BOX 26118, FRESNO, CA 93729-6118
(559) 283-7718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14923
CA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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