Davie Marvan Manullang
Davie Marvan Manullang is a Registered Nurse in Santa Ana, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1725 W 17th StSanta Ana, CA 92706-2316
Phone: (951) 858-7902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 95173934 (CA) |
|---|
Record details
| NPI number | 1316540263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 20, 2020 |
| Last updated in NPPES | November 20, 2020 |
| Certification date | November 9, 2020 |
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