Individual
KIMBERLY SUZANNE MANZANARES-MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 HUNTINGTON DR, S PASADENA, CA 91030-4552
(213) 660-8298
Mailing address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2878
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
05/14/2025
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