MR. Conrado Villasenor Manimbo
NPI #1124305255 in Anaheim, California
Provider Information
- NPI Number
- 1124305255
- Entity Type
- Individual
- Name
- MR. Conrado Villasenor Manimbo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Nov 3, 2011
- Last Updated
- Nov 3, 2011
Practice Location
- Address
- 1325 N. RED GUM ST.
- Address 2
- SUITE 14
- City
- Anaheim
- State
- California
- ZIP Code
- 92806
- Phone
- (714) 238-9005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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