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Individual

DEANNE MANANSALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4100 E COMMERCE WAY STE 110, SACRAMENTO, CA 95834-9501
(916) 515-1698
Mailing address
2420 EL PAVO WAY, RANCHO CORDOVA, CA 95670-3132
(916) 708-1623

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
440095
CA

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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