Individual
EVA KANSIIME MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3631 CRENSHAW BLVD STE 109, LOS ANGELES, CA 90016-4869
(818) 209-8309
Mailing address
4976 BARBADOS CT, OAK PARK, CA 91377-5533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95010184
CA
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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