DEZIRAE MARIE MANRIQUEZ

MARINA, CA
NPI1306501598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-11-03
Last Update Date2023-05-10
Business Address
DEZIRAE MARIE MANRIQUEZ
299 12TH ST STE B
MARINA, CA 93933-6003
Phone number: 831-883-3030
Mailing Address
DEZIRAE MARIE MANRIQUEZ
299 12TH ST STE B
MARINA, CA 93933-6003
Phone number: 831-883-3030