Most Relevant Information
Provider Data
| NPI Number: | 1003331448 |
| Provider Name: | REBECCA MANZO RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | R1251310517 |
Most Important Dates
| Enumeration Date: | 08/07/2017 |
| Last Updated: | 08/07/2017 |
Provider Practice Location
1001 GRAND AVE
SACRAMENTO
CA
958383512
Practice Location Phone/Fax
| Phone: | 9169291951 |
| Fax: | 9169291951 |
Provider Mailing Location
1001 GRAND AVE
SACRAMENTO
CA
958383512
Provider Mailing Phone/Fax
| Phone: | 9169291951 |
| Fax: | 9169295116 |