Individual provider · Type 1 NPI

Jacqueline Guadalupe Manzo Maravilla

Rehabilitation Practitioner · Merced, CA

NPI number 1679228522 Active

Practice location

301 E 13th St Ste D
Merced, CA 95341-6211

Call (209) 386-1096 Map

Mailing address

3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1679228522

Jacqueline Guadalupe Manzo Maravilla's National Provider Identifier is 1679228522, issued on Feb 18, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Merced, CA. The record was last updated on Jun 26, 2025.