Individual
MASHA MANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13200 CROSSROADS PKWY N, CITY OF INDUSTRY, CA 91746-3459
(562) 821-9603
Mailing address
30 CATANIA, MISSION VIEJO, CA 92692-5126
(949) 338-7811
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6727
—
CA
Enumeration date
03/02/2022
Last updated
03/02/2022
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