Individual
DR. ENN MANNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1989 VICENTE DR, SAN LUIS OBISPO, CA 93405-6863
(805) 781-4179
(805) 781-1265
Mailing address
3285 FLORA ST, SAN LUIS OBISPO, CA 93401-6004
(805) 544-2951
(805) 781-1265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C036326
CA
Other
Enumeration date
12/12/2006
Last updated
07/09/2007
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