Individual
EMILY MELISSA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29641 ROYAL BURGH DR, MURRIETA, CA 92563-5832
(949) 293-0467
Mailing address
29641 ROYAL BURGH DR, MURRIETA, CA 92563-5832
(949) 293-0467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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