Manabo, Susan T.

Manabo, Susan T. is an individual health care provider with primary practice located at 26455 Marsala Way , Mission Viejo CA 92692-3264. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manabo, Susan T. can be contacted via phone (949) 348-0476.

Contact Information

Primary practice address
26455 Marsala Way Mission Viejo CA 92692-3264
Phone: (949) 348-0476
Fax: (213) 484-9939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 285624-11204 California

Profile Details

NPI number 1063437754
LBN Legal business name Manabo, Susan T.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063437754 NPPES
California Other 285624 CA RN LICENSE

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