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Individual

MARIELLA MANALAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
809 FREMONT AVE, LOS ALTOS, CA 94024-5617
(650) 941-5255
Mailing address
843 REDBERRY WAY, SAN JOSE, CA 95117-1681
(408) 694-8886

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53940
CA

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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