Mayra Alejandra Manzo

Individual provider Active NPI School Counselor · Escalon, CA

NPI 1245086560 · NPPES record last updated Apr 26, 2024

Key facts

NPI
1245086560
Entity type
Individual (NPI type 1)
Primary specialty
School Counselor 101YS0200X
Practice address
805 1St St
Escalon, CA 95320-1599
Phone
(209) 281-4520
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X Yes

Addresses

Primary practice location

805 1St St
Escalon, CA 95320-1599

Mailing address

805 1St St
Escalon, CA 95320-1599
Phone (209) 281-4520

Other providers in Escalon, CA

All providers in Escalon, CA · School Counselor in California

Sources for this page

Verify at the official NPI Registry.