Most Relevant Information
Provider Data
| NPI Number: | 1003522269 |
| Provider Name: | MAYRA P MONTOYA MANRIQUEZ LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP2201X |
| Specialty: | Registered Nurse |
| License Number: | 708067 |
Most Important Dates
| Enumeration Date: | 01/30/2023 |
| Last Updated: | 01/30/2023 |
Provider Practice Location
1333 CHESTNUT AVE
LONG BEACH
CA
908132944
Practice Location Phone/Fax
| Phone: | 3237532300 |
| Fax: |
Provider Mailing Location
1333 CHESTNUT AVE
LONG BEACH
CA
908132944
Provider Mailing Phone/Fax
| Phone: | 3237532300 |
| Fax: |