The holder whose full name is Manalo, Edna Magno,come from Fort Wayne IN,hold the Physician Assistant license(NO.10000418A) which status is Active.
| Name | Manalo, Edna Magno |
|---|---|
| License Number | 10000418A |
| License Type | Physician Assistant |
| License Status | Active |
| City | Fort Wayne |
| State | IN |