Individual
UPENDA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 ROWLAND WAY, NOVATO, CA 94945-5042
(415) 892-1502
Mailing address
88 ROWLAND WAY, NOVATO, CA 94945-5042
(415) 892-1502
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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