NPI | 1558196824 |
---|---|
Doing Business As | MANA INTEGRATIVE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | REY JERICOH P MANALESE Pmhnp, Fnp 623-224-2403 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-09-05 |