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Individual

CHARISSA L MANUAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
350 W THOMAS RD, 5TH FLOOR NURSERY ICU, ATTN: SHAWN SALEMME, PHOENIX, AZ 85013-4409
(602) 406-3512
Mailing address
350 W THOMAS RD, 5TH FLOOR NURSERY ICU, ATTN: SHAWN SALEMME, PHOENIX, AZ 85013-4409
(602) 406-3512

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036130274
IL
208000000X
Pediatrics Physician
31764
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
50700
AZ

Other

Enumeration date
06/23/2009
Last updated
10/16/2015
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