Individual
MISS EVA ANGELINA MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(714) 288-1035
(714) 288-2784
Mailing address
2558 W GLENCREST AVE, ANAHEIM, CA 92801-3135
(714) 821-8057
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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