Individual
ANNETTE P MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 780-0755
Mailing address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 780-0755
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
R1478420220
CA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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