Elizabeth Karenina Manullang
NPI #1063989382 in Colton, California
Provider Information
- NPI Number
- 1063989382
- Entity Type
- Individual
- Name
- Elizabeth Karenina Manullang
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 24, 2018
- Last Updated
- Oct 24, 2018
Practice Location
- Address
- 400 N PEPPER AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-1819
- Phone
- (877) 873-2762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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