LARA TRINIDAD MANESE

GLENDALE, CA
NPI1164905873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  F02180415)
Enumeration Date2018-09-09
Last Update Date2018-09-09
Business Address
LARA TRINIDAD MANESE NP
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204-4647
Phone number: 818-500-8739
Mailing Address
LARA TRINIDAD MANESE NP
452 VINE ST
GLENDALE, CA 91204-1559
Phone number: 323-217-9674