Manktelow, Leia

Manktelow, Leia is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Manktelow, Leia can be contacted via phone (650) 736-2000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Fax:
Website:

Health care specialties

Profile Details

NPI number 1558775627
LBN Legal business name Manktelow, Leia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Jun 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558775627 NPPES
California MEDICAID 05330

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