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

MS. Marissa Mendoza Manzano

Individual provider Licensed Vocational Nurse · NPI 1245911759

MS. Marissa Mendoza Manzano is a Licensed Vocational Nurse in Elk Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

8563 Melville Dr
Elk Grove, CA 95758-7253
Phone: (916) 752-5280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 293510 (CA)

Record details

NPI number1245911759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

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