Individual
MANUEL SOLLESTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1562 KIOWA CREST DR, DIAMOND BAR, CA 91765-3917
(909) 860-6868
Mailing address
1562 KIOWA CREST DR, DIAMOND BAR, CA 91765-3917
(909) 860-6868
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
VN 252233
CA
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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