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Individual

BRANDYE WILSON-MANIGAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7184
(541) 881-7016
Mailing address
50 ALESSANDRO PL, SUITE 310, PASADENA, CA 91105-3149
(626) 796-9114
(626) 796-8523

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A95658
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD224037
OR

Other

Enumeration date
09/16/2008
Last updated
07/02/2025
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