Individual
ALEXIS MARIE MANNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Mailing address
5741 W CROWLEY AVE, VISALIA, CA 93291-5146
(818) 317-8165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21689
CA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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