Individual
MRS. MARY MANUEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11211 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1115
(818) 837-5770
Mailing address
29811 CAMBRIDGE AVE, SANTA CLARITA, CA 91384-4540
(661) 618-5518
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN396105
CA
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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