Individual
MANAL QAQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6625 GREEN VALLEY CIR UNIT 302, CULVER CITY, CA 90230-8108
(213) 334-1925
Mailing address
6625 GREEN VALLEY CIR UNIT 302, CULVER CITY, CA 90230-8108
(213) 334-1925
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
751209
CA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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