Individual
JACQUELINE MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1350
Mailing address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW121199
CA
Other
Enumeration date
08/22/2022
Last updated
10/02/2025
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