Individual
PELILIA MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7957 DALE STREET, BUENA PARK, CA 90620-2271
(714) 269-6931
Mailing address
7957 DALE STREET, BUENA PARK, CA 90620-2271
(714) 269-6931
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
CA
Enumeration date
11/14/2018
Last updated
11/14/2018
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