Individual
EUNICE ONG MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9300 CAMPUS POINT DR., MC8745, LA JOLLA, CA 92037
(858) 657-7728
Mailing address
9300 CAMPUS POINT DR., MC8745, LA JOLLA, CA 92037
(858) 657-7728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23841
CA
363LP0200X
Pediatric Nurse Practitioner
23841
CA
Other
Enumeration date
03/19/2015
Last updated
02/02/2017
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