Individual
KRISTINA MARIE MANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
6708 N DURANT AVE, FRESNO, CA 93711-1360
(805) 441-5499
Mailing address
PO BOX 402, PASO ROBLES, CA 93447-0402
(805) 441-5499
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
26249
CA
124Q00000X
Dental Hygienist
821
CA
125K00000X
Advanced Practice Dental Therapist
Primary
821
CA
Other
Enumeration date
04/21/2020
Last updated
11/07/2022
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