Most Relevant Information
Provider Data
| NPI Number: | 1003493917 |
| Provider Name: | ANTHONY MANNARINO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2021 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
4647 ZION AVE STE 1116
SAN DIEGO
CA
921202507
Practice Location Phone/Fax
| Phone: | 4407810769 |
| Fax: |
Provider Mailing Location
4647 ZION AVE STE 1116
SAN DIEGO
CA
921202507
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |