Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manya Bohannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366715336

Manya Bohannon is a Student in an Organized Health Care Education/Training Program in San Dimas, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

762 Cypress St
San Dimas, CA 91773-3505
Phone: (909) 599-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366715336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2012
Last updated in NPPESMay 14, 2013
Mailing address762 Cypress St, San Dimas, CA 91773-3505

Other providers in San Dimas