PREMALATA MANICKAM

FONTANA, CA
NPI1154353654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: CA  C52156)
Enumeration Date2006-07-07
Last Update Date2021-10-13
Business Address
PREMALATA MANICKAM m.d.
9985 SIERRA AVE KAISER PERMANENTE, MOB 2B
FONTANA, CA 92335-6720
Phone number: 909-427-5993
Mailing Address
PREMALATA MANICKAM m.d.
9985 SIERRA AVE KAISER PERMANENTE ,PEDIATRIC CLINIC MOB 2B
FONTANA, CA 92335-6720
Phone number: 909-427-5993
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