Individual
SEAN MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2781 W RAMSEY ST STE 3&4, BANNING, CA 92220-3700
(951) 417-6612
Mailing address
2781 W RAMSEY ST STE 3&4, BANNING, CA 92220-3700
(951) 417-6612
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31927
CA
Other
Enumeration date
02/21/2024
Last updated
03/31/2026
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