NPI 1013697002

Mena S Manolly, CPO

Practitioner Prosthetist Riverside, CA

Practice location

Address: 8845 Barton St, Riverside, CA 92508-3243
Phone: (951) 966-7661

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO03356 (CA)

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO03356 (CA)

Registry record

NPI: 1013697002
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2023
Record last updated: 7 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.