Individual
GRACE DIVINE MANALANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 257-4242
(661) 294-0020
Mailing address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 257-4242
(661) 294-0020
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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