Maryanne Manetta Angeles, LVN
Licensed Vocational Nurse in San Jose, CA. Individual provider (NPI-1).
NPI number1548513997
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1548513997
- Entity type
- Individual (NPI-1)
- Name
- Ms. Maryanne Manetta Angeles
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2012
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN253418 | CA | Yes |
Practice location
438 N White RdSan Jose, CA 95127-1439
Phone 408-254-6848 · Fax 408-642-6052
Mailing address
1922 The Alameda Ste 316San Jose, CA 95126-1461
Phone 408-261-7777 · Fax 408-642-6052
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