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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANNA CATALINA MANALAYSAY BRAVO-CUSTODIO, PAC

Active Sole Proprietor

ANNA CATALINA MANALAYSAY BRAVO-CUSTODIO, PAC is a Physician Assistant healthcare provider located in UPLAND, California. NPI 1649864455 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · UPLAND, CA

Registration Details

NPI Number
1649864455
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2021 (5.4355590217017 yrs)
Last Updated
Oct 25, 2023
License
PA59364 (CA)
Sole Proprietor
Yes

Practice Information

Address
1310 SAN BERNARDINO RD STE 102
UPLAND, CA, 917864985
Browse CA providers · Browse ZIP 91786
Phone
9096082008
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in UPLAND, CA

Name Credential NPI
KATHLEEN A LAUREL P.A.-C. 1134131394
MR. FRANK PAUL CANAVAN PA-C 1194811984
BHAVNA SHALU TANDON DMSC, PA-C 1073692521
MISS YUMIKO WONG PA 1730243551
NANCY ANNE PANSE PA-C 1538370903
MR. ANTHONY JAMES ANTENORCRUZ JR. PA-C 1376722884
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.