Individual
DR. TASHA MANTERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 RANCHO DEL ORO RD, OCEANSIDE, CA 92056-1729
(760) 828-2093
Mailing address
141 ATHENA ST, ENCINITAS, CA 92024-2026
(760) 828-2093
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C52681
CA
Other
Enumeration date
01/11/2006
Last updated
02/10/2012
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