Individual
MANJU PABLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
494 BLOSSOM WAY, CHERRYLAND, CA 94541-1948
(510) 582-7676
Mailing address
16744 VICTORIAN TRL, LATHROP, CA 95330-8835
(209) 200-0320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
725035
CA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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