Individual provider · Type 1 NPI

Karen Marie Manitsas, MPA-C

Medical Physician Assistant · Santa Clara, CA

NPI number 1407902802 Active

Practice location

988 Walsh Ave
Santa Clara, CA 95050-2649

Mailing address

1562 Cherrywood Dr
San Mateo, CA 94403-3904

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 17654 (CA)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1407902802

Karen Marie Manitsas, MPA-C's National Provider Identifier is 1407902802, issued on Jan 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Clara, CA. The record was last updated on Jul 8, 2007.