Individual provider · Type 1 NPI

Dave D. Manguerra Jr.

Student in an Organized Health Care Education/Training Program · Elk Grove, CA

NPI number 1346167707 Active

Practice location

9700 W Taron Dr
Elk Grove, CA 95757-8145

Call (708) 870-5607 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346167707

Dave D. Manguerra Jr.'s National Provider Identifier is 1346167707, issued on Jul 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elk Grove, CA. The record was last updated on Jul 30, 2026.