Individual
ASHLEY MANISAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 LAS GALLINAS AVE, SAN RAFAEL, CA 94903
(415) 479-6111
Mailing address
2280 RIDGEMERE CIR, ROSEVILLE, CA 95747-9095
(916) 770-9204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
90372
CA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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