Individual
MRS. ELIZABETH MANUILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
Mailing address
8100 OCEANVIEW TER APT 303, SAN FRANCISCO, CA 94132-3278
(415) 710-0986
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 192660
CA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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