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NPI Code Detail

MEDICARE: MANUEL JOSEPH JOAQUIN

MEDICARE: MANUEL JOSEPH JOAQUIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100331OTHERCASTAFF NUMBER

General Provider Information

NPI Number : 1861535924
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL JOSEPH JOAQUIN
Provider Business Mailing Address
First Line : 258 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93701-1913
Country : US
Telephone Number : 559-274-0299
Fax Number :
Provider Business Practice Location Address
First Line : 258 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93701-1913
Country : US
Telephone Number : 559-274-0299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 07/27/2016

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Directions to “ MANUEL JOSEPH JOAQUIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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