Individual
BLESILDA MANIEGO SURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1220 MORELLO AVE, SUITE 100, MARTINEZ, CA 94553-4707
(925) 957-2616
Mailing address
1220 MORELLO AVE, SUITE 100, MARTINEZ, CA 94553-4707
(925) 957-2616
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
477064
CA
Other
Enumeration date
03/09/2016
Last updated
03/18/2016
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