NPI 1316217987

Agnes Castillo Manosca, NPRN

Practitioner Licensed Practical Nurse San Jose, CA

Practice location

Address: 5671 Santa Teresa Blvd 105, San Jose, CA 95123-6512
Phone: (408) 284-2280
Fax: (408) 281-2857
Mailing address: 319 Halyard Ln, Foster City, CA 94404-3920

Registered specialties (2)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 20976 (CA)

Other Licensed Practical Nurse providers in California →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 640686 (CA)

Other Registered Nurse providers in California →

Registry record

NPI: 1316217987
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2012
Record last updated: 12 Jan 2012

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.