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Individual

MS. MANLE DO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-3984
(209) 491-7587
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95016080
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP95016080
CA

Other

Enumeration date
12/16/2020
Last updated
02/16/2024
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