Carl Jhon Manalo Manigo
Registered Nurse in Anaheim, CA. Individual provider (NPI-1).
NPI number1548069461
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1548069461
- Entity type
- Individual (NPI-1)
- Name
- Carl Jhon Manalo Manigo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2025
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95343588 | CA | Yes |
Practice location
1818 S State College Blvd Unit 436Anaheim, CA 92806-8921
Phone 714-547-7157
Mailing address
1818 S State College Blvd Unit 436Anaheim, CA 92806-8921
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