NPI | 1700977188 |
---|---|
Doing Business As | MANZANITA MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LARISA KRAVCHUK Manager 916-979-0621 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
2085R0202X Radiology, Diagnostic Radiology | |
225100000X Physical Therapist | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-04-30 |