Individual
MICHELLE NAZANINE MANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST BLDG A7D, LOS ANGELES, CA 90089-1001
(240) 778-3529
Mailing address
7061 31ST ST NW, WASHINGTON, DC 20015-1432
(240) 778-3529
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A190702
CA
Other
Enumeration date
04/17/2020
Last updated
04/09/2024
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