Individual
DR. CECILIA L. MANIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 WASHINGTON SQ, SAN JOSE, CA 95192-0037
(408) 924-6140
(408) 924-6104
Mailing address
2040 SPANISH BAY CT, SAN JOSE, CA 95138-2106
(408) 223-7189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G69758
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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