Anna Catalina Manalaysay Bravo-Custodio, PAC
NPI #1649864455 in Upland, California
Provider Information
- NPI Number
- 1649864455
- Entity Type
- Individual
- Name
- Anna Catalina Manalaysay Bravo-Custodio, PAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Feb 22, 2021
- Last Updated
- Oct 25, 2023
Practice Location
- Address
- 1310 SAN BERNARDINO RD STE 102
- City
- Upland
- State
- California
- ZIP Code
- 91786-4985
- Phone
- (909) 608-2008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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