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PATRICIA A MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
FRESNO & R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2274
CA
367500000X
Certified Registered Nurse Anesthetist
RN486625
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0022740
BLUE SHIELD OF CA
CA
05
RN4866250
CA
Enumeration date
06/01/2006
Last updated
12/19/2007
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