Individual
MS. DAWN SHANTA MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2113 CIRCLE DR, CORCORAN, CA 93212-1611
(323) 334-7384
Mailing address
2113 CIRCLE DR, CORCORAN, CA 93212-1611
(323) 334-7384
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN195548
CA
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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