Search › California › 164X00000X
Jefferey Mananguite
NPI 1316502842 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2208 Saratoga Ln
Glendora, CA 91741 - Phone
- (310) 739-2779
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California