Holly Mansour
NPI #1760351415 in Lakeside, California
Provider Information
- NPI Number
- 1760351415
- Entity Type
- Individual
- Name
- Holly Mansour
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 31, 2025
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 12060 THISTLE BRAES TER
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-4929
- Phone
- (619) 672-9346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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