Individual
ERNESTO MANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 W BROOKSHIRE AVE, ORANGE, CA 92865-2101
(949) 727-5300
Mailing address
515 W BROOKSHIRE AVE, ORANGE, CA 92865-2101
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
647260
CA
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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