Individual
ANNA CATALINA MANALAYSAY BRAVO-CUSTODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1310 SAN BERNARDINO RD STE 102, UPLAND, CA 91786-4985
(909) 608-2008
Mailing address
1310 SAN BERNARDINO RD STE 102, UPLAND, CA 91786-4985
(909) 608-2008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA59364
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/22/2021
Last updated
10/25/2023
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