MARI CARLO MANZANA

INDIO, CA
NPI1063946341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A157573)
Enumeration Date2017-04-13
Last Update Date2021-12-03
Business Address
MARI CARLO MANZANA
46900 MONROE ST
INDIO, CA 92201-4827
Phone number: 833-574-2273
Mailing Address
MARI CARLO MANZANA
PO BOX 66
IMPERIAL, CA 92251-0066
Phone number: 760-332-8688