MARY LOUIS MANAVALAN

URBANA, IL
NPI1043529803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A130919)
Enumeration Date2010-09-28
Last Update Date2015-08-06
Business Address
-- MARY LOUIS MANAVALAN M.D.
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3110
Mailing Address
-- MARY LOUIS MANAVALAN M.D.
1510 4TH ST 1
BERKELEY, CA 94710-1717
Phone number: 510-525-8980
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