Mancao, Marilisa
Mancao, Marilisa is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420-0160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mancao, Marilisa can be contacted via phone (505) 368-6001.Contact Information
Primary practice address
Us Hwy 491 North
Shiprock NM 87420-0160
Phone: (505) 368-6001
Fax: (505) 368-7011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 98109 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G161069 | California |
Profile Details
| NPI number | 1912982455 |
|---|---|
| LBN Legal business name | Mancao, Marilisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Feb 8th, 2021 - about 3 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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