BENJAMIN MANACOP III

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1750152344

Practice Address

1007 E COOLEY DR STE 103
Colton, CA 92324

Phone: (951) 727-6460

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 95030284 (CA)
Registered Nurse - Oncology 163WX0200X No 631790 (CA)

Frequently Asked Questions

NPI 1750152344 is the National Provider Identifier for BENJAMIN MANACOP III, a Nurse Practitioner - Psychiatric/Mental Health provider located in Colton, CA. This NPI was enumerated on January 11, 2024.
BENJAMIN MANACOP III practices at 1007 E COOLEY DR STE 103, Colton, CA 92324.

Quick Facts

NPI
1750152344
Type
Individual
Enumerated
Jan 11, 2024
Last Updated
Jan 12, 2026

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